60 yr old male with lower back ache and shortness of breath
A 60 yr old male resident of daily wage labourer by occupation came with chief complaints of lower back ache since 10 days and shortness of breath since 5 days HISTORY OF PRESENTING ILLNESS Pt was apparently asymptomatic 6 months back the he developed sudden onset of chest pain with high blood pressure and was diagnosed with MI and PTCA was done . Now since 5 days she developed sudden onset of chest pain and shortness of breath Chest pain is retrosternal,non radiating Shortness of breath since 5 days grade ll to grade lll , PAST HISTORY K/c/o DM since 10 years PERSONAL HISTORY Diet mixed Appetite Normal Sleep adequate Bowel and bladder Regular Addictions alcoholic since 20 yrs 70ml/day and smoker since 20 yrs 2 chutta/day GENERAL EXAMINATION Patient is conscious coherent and cooperative Moderately built and nourished No pallor, Icterus, cyanosis, generalized lymphadenopathy,edema Mild clubbing is present Vitals Temp Afebrile Bp...