A 50 years old male patient with shortness of breath
Jan 2 2023 A 50 yr old male daily labourer by occupation came with chief complaints of shortness of breath since 10 days HOPI Patient was apparently asymptomatic 1 yr back Then he developed fever for which he went to the hospital and was diagnosed with chronic kidney disease and is on conservative management Now since since 10 days he is having shortness of breath grade IV Shortness of breath is also associated with vomitings on and off since 10 days (2 episodes per day for 3 days) The vomitus was non bilious and non projectile and food particles as content No history of fever, burning micturition and decreased urine output Three sessions of dialysis was done from.the date of admission Past history Known case of Hypertension since 1 yr and is on medication Personal history Daily routine The patient wakes up around 5 am and take breakfast around 9 am and lunch around 1pm and dinner around 8 pm and sleeps at 9 pm Before 1 yr he used do daily labourer work and stopped since w