74 year old male with chest pain and breathlessness
A 74 years old male ,fruit vendor by occupation came to the OPD with a cheif complaints of chest pain since 2 months Breathlessness since 2 months History of presenting illness The patient was apparently asymptomatic 7 years ago Then he developed burning sensation in the chest and went to hospital and diagnosed with some GI disease. 5 years back the patient underwent cataract surgery in the right eye 2 years back patient developed bilateral knee pain for which he was diagnosed with osteoarthritis and then he was also diagnosed with hypertension and he was on medication for few days Then he stopped taking medication and neglected. Since 2 months the patient developed left sided chest pain which is intermittent in nature . which dragging type,non radiating . Shortness of breath since 2 months ,which was insidious onset and progressive in nature where the patient used to get SOB on doing small work later he used to get sob on walking for small distance(grade 2 to grade 3). Form the