CBBLE UDHC SIMILAR CASES

RICU admission  Bed 3  70 y old male , rtc mechanic by occupation for 30 years , retired 7 years back . Pt came with the chief complaints of breathlessness since 20 days. HOPI :  Pt was apparently asymptomatic 20 days back then developed breathlessness which was sudden in onset, gradually progressed from MMRC grade I to grade II.  Breathlessness aggrevated during exertion and relieved on taking rest. No positional variation , not associated with wheeze . No c/o cough , chest pain, chest tightness,  haemoptysis. No fever spikes.  PAST HISTORY:  No Similar Complaints in the Past. Pt had history of bronchial asthma 40 years back for which he used medication and it was cured after 5 years. N/K/C/O  DM, HTN, CAD, EPILEPSY.  No h/o TB in the past. PERSONAL HISTORY:  Diet : normal  Appetite : normal  Bowel and bladder movements : normal No known allergies  Chronic smoker for 20 years - 1 beedi pack/day , stopped 7 years back. Occasional alcoholic , stopped 7 years back. O/E : Patient is C/C/C