80 year old female with shortness of breath

June 06, 2022

A VISHAL

1701006001

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A 80 yr old lady, mother of three daughters & dailywaged labourer by occupation was brought to casuality with

#CHIEF COMPLAINTS :-

(1)Shortness of breath since 10 days .

(2)Dry cough since 3 days.

#HISTORY OF PRESENT ILLNESS:-

Patient was apparently asymptomatic 20 yrs back then

*she had history of giddiness and headache tried to treat herself with some veggies and herbs for few days to weeks but symptoms didn't subsided for which she went to hospital and diagnosed with hypertension and from then on regular medication Currently using Tab. Atenolol 50mg + Amlodipine 5mg once daily.

*6 yrs back she had history of polyuria for which she went to RMP who told her that she had uncontrolled sugars and prescribed Tab.metformin 500 mg once daily.

*3 yrs back she had history of pain abdomen and diagnosed with appendicitis and appendicectomy was done

*2 yrs back she had shortness of breath initially on exertion and later progressed to even at rest associated with pedal edema and bilateral plueral effusion diagnosed with left lower lobe collapse with acute cardiogenic pulmonary edema then

2D echo showing dilated right and left atria ,concentric LVH ,moderate PAH.

Since then patient had no symptom

* 10 days back she developed shortness of breath ,which is insidious in onset gradually progressive from exertion to rest since 3 days associated with dry cough.