A 49 year old male with chest pain

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15 Feb 2022

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A 49 YEAR OLD MALE PATIENT WHO IS TODDY TREE CLIMBER BY OCCUPATION CAME ON SATURDAY TO OP WITH

CHEIF COMPLAINTS OF -

Severe chest pain since 5-6 days

Fever and Cough since 5-6 days and

Shortness of breath since one day

HISTORY OF PRESENTING ILLNESS-

Patient was apparently asymptomatic 1 week back then he developed fever which was high grade along with chills and rigor which relieved on medication.

He also has yellowish discolouration of sclera .

He developed dry cough after he got fever . Chest pain aggravates on coughing since 2 days .

History of (1 episode) vomiting when he had fever . Which was watery and had food particles in it . Non bilious

Patient presently complains of chest pain which is aggravating on coughing and while talking along with shortness of breath since 2 days .

Patient had similar complaints of fever with chills and rigor 4 years back when he was diagnosed to have DM along with fatty liver and jaundice.

He has history of seizures since last 5 years .

5-6 episodes in last 5 years .

Last episode was 1 year back .

FEVER CHART