70MALE CKD PTB
CHIEF COMPLAINTS A 70 YEAR OLD MALE FARMER BY OCCUPATION CAME TO CASUALITY IN 23-02-2024 WITH CHIEF COMPLAINTS OF C/O DIFFICULTY IN BREATHING SINCE 10 DAYS. C/O FEVER SINCE 10 DAYS. C/O COUGH SINCE 10 DAYS . HISTORY OF PRESENT ILLNESS PATIENT WAS APPARENTLY ASYMTOMATIC 1 DAYS BACK THEN DEVELOPED SHORTNESS OF BREATH, INSIDIOUS IN ONSET, GRADUALLY PROGRESSIVE, GRADE 1-3 AGGREVATED WITH STRENBOUS EXERCISE, RELEIVED WITH REST. C/O COUGH SINCE 10 DAYS ASSOCIATED WITH SPUTUM, WHITISH IN COLOUR, NON BLOOD STAINED ,NON FOUL SMELLING C/O FEVER WITH CHILLS AND RIGORS,NO DIURNAL VARIATION.C/O DECREASED URINE OUTPUT SINCE ONE MONTH. NO COMPLAINTS CHEST PAIN, PALPITATIONS, ORTHOPNEA, PND PAST HISTORY NOT A KNOWN CASE OF HTN ,DM,EPILEPSY, THYROID DISODERS PERSONAL HISTORY MIXED DIET BOWEL REGULAR DECREASED URINE OUTPUT SINCE 1 MONTH ALCOHOLIC SMOKER GENERAL EXAMINATION: PATIENT IS CONCIOUS, COHERENT AND COOPERATIVE, MODERATLY BUILT AN...