58 YRS MALE , ATRIAL FLUTTER WITH VARIABLE BLOCK , HEART FAILURE WITH REDUCED EJECTION FRACTION ( 38%) PRE RENAL AKI ON CKD , K/C/O. VALVULAR AF WITH FVR ,SECONDARY TO CHRONIC RHEUMATIC HEART DIDEASE WITH MITRAL STENOSIS, K/C/O.COPD , DENOVO. HYPERTENSION.
58yr Old male patient complaints of FEVER since 10days, COUGH since 10days , SHORTNESS OF BREATH since 10days.