Prefinals Examination Paper 2
Posts
52 year old male patient with SOB
A 52 year old male patient,a vegetable vendor by occupation and resident of miryalguda came to the casualty with chief complaints of shortness of breath since 25 days HISTORY OF PRESENTING ILLNESS: Patient is apparently asymptomatic 6 months ago then he developed shortness of breath which is insidious in onset, intially it was for heavy work (class 1) progressed to producing symptoms even on rest (class 4) for which he went to local hospital 1 month back,where he is diagnosed with Acute kidney injury no aggrevating and relieving factors orthopnea present, Trepopnea present, PND since 1month Patient has bilateral pedal edema extending upto the knee (pitting type) since 1 month which was insidious in onset and gradually progressed with no aggrevating and relieving factors No history of fever No history of chest pain No history of syncopal attacks DAILY ROUTINE: Patient wakes up at 6 am and have a cup of tea and eats breakfast at 8am and goes to work evening he'll have cup tea