RANJITH KUMAR ROLL NO 53

 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

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT         CHEIF COMPLAINTS: A 65 year old male resident of choutuppal farmer by occupation came to OPD with chief complaints of  SHORTNESS OF BREATH AND PAIN ABDOMEN Since 2 days. HOPI: Patient was apparently asymptomatic 25 years back years back then he developed cough with thick blood stained sputum and went to a private hospital for checkup and was diagnosed with TB and was on ATT for 6 months and then the symptoms of cough subsided. 2 years back he had Shortness of breath  (Grade 2) type which is insidious in onset and went to local RMP and was relieved temporarily on medication ( drug - unknown) from then he