A 60 year old female came to GM OPD with Chief Complaints of fever since ③ days and cough associated with sputum since ③ days.Difficulty in swallowing and pain during swallowing since ③ dogs, hoarseness of voice since ③ days shortness of breath since ③ days
Shivakumar sriram 152 A 60 year old female came to GM OPD with Chief Complaints of fever since ③ days and cough associated with sputum since ③ days. Difficulty in swallowing and pain during swallowing since ③ dogs, hoarseness of voice since ③ days shortness of breath since ③ days HOPI : The patient was apparently asymptomatic ③ days back then she developed high grade fever, cough with sputum which is whitish in coour non foul smelling and non blood stained. There was a history of difificult in swallowing & pain during swallowing there h/o shortness of breath ③ days back grade -II. decreased appetite since 5-6 months, loss of weight since 1 year.( 20kg wt loss) PAST HISTORY : History of giddiness and fall ,followed by unconsciousness. Known case of hypertension since 1 year but since 5-6 months not on regular medication . Known case of thyroid disorder since 1 year on medication. known case of DM || since ⑨ years and medication since then, tab- glibeclamide in morning, citagl