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63 MALE WITH SEPTIC SHOCK, CARDIOGENIC SHOCK, PERSISTENT AF WITH FVR, HFMEF NCNC ANAEMIA 2ry TO BLOOD LOSS, UTI, B/L PLEURAL EFFUSION, GRADE-4 BEDSORE, S/P D11-D12 LAMINECTOMY WITH PARAPERASIS

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PRESENTING COMPLAINTS :  PATIENT CAME WITH C/O.DIFFICULTY IN SWALLOWING AND SHORTNESS OF BREATH SINCE TODAY MORNING  HISTORY OF PRESENTING COMPLAINTS : PATIENT WAS APPARENTLY NORMAL YESTERDAY, SUDDENLY HAD DIFFICULTY IN SWALLOWING ASSOCIATED WITH DROOLING OF SALIVA AND DIFFICULTY IN SPEECH. SHORTNESS OF BREATH SINCE MORNING SUDDEN IN ONSET GRADUALLY PROGESSIVE FROM GRADE-3 TO GRADE-4. H/O.FALL AT HOME 20 DAYS BACK AT HOME FOLLOWED BY WEAKNESS OF BOTH LOWER LIMBS AND LAMINECTOMY DONE AT OUT SIDE HOSPITAL, THEY DIAGNOSED D11 WEDGE COMPRESSION FRACTURE, FRACTURE MULTIPLE RIBS WITH HEMOTHORAX WITH ATRIAL FIBRILLATION. PAST HISTORY: NO H/O. HYPERTENSION  NO H/O. DIABETES MELLITUS  NO H/O. CAD /CVA  NO H/O. TB/ ASTHMA / EPILEPSY  TREATMENT HISTORY: NO PREVIOUS HISTORY OF MEDICATIONS  PERSONAL HISTORY:  Diet - mixed  Appetite - normal  Bladder and Bowel - constipation Sleep - adequate  Alcohol - Regular 90ml/day sin...
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84 MALE , COMMUNITY ACQUIRED PNEUMONIA , TYPE- ll RESPIRATORY FAILURE, PARAXYSMAL AF WITH FVR , HFMEF (EF-45,%) , K/C/O.BRONCHIAL ASTHAMA

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PRESENTING COMPLAINTS: 84 YEARS MALE PATIENT C/O.SHORTNESS OF BREATH SINCE MORNING  FEVER SINCE 5 DAYS.  HISTORY OF PRESENTING COMPLAINTS : The patient was apparently asymptomatic before  3yrs gradually he had shortness of breath on and off, which is of GRADE -ll NYHA and sinc morning he had sudden onset of severe shortness of breath associated with minimal exertion.  fever since  5 days associated with chills and rigor intermittent and High grade .   Cough with sputum since 5days whitish in colour, copious in amount. PAST HISTORY: NO H/O. HYPERTENSION  NO H/O. DIABETES MELLITUS  NO H/O. CAD /CVA  NO H/O. TB/ ASTHMA / EPILEPSY  TREATMENT HISTORY: NO PREVIOUS HISTORY OF MEDICATIONS  PERSONAL HISTORY:  Diet - mixed  Appetite - normal  Bladder and Bowel - Regular  Sleep - adequate  Alcohol - Regular 90ml/day since 20yrs Smokes 1pack/day since 20yrs  No drug addictions  FAM...
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