Case: A 73 year male who is a resident of gonaboynapally, came to OPD with Chief Complaints: Breathlessness since 10 days. Epigastric pain since 4 days. History of present illness: Patient was asymptomatic 12years back and developed cough(insidious in onset, progressive, associated with expectoration) for which he went to hospital and diagnosed with tuberculosis.4years back patient had developed swelling in his scrotum and underwent hydrocele surgery. Since 2 months patient is having breathlessness on and off for which he used to go near by RMP and use medication and used to drink alcohol to get sleep. 10 days back patient had developed severe shortness of breath and got admitted in area govt. hospital and was diagnosed with tuberculosis (CBNAAT) on 3/11/22. SOB of grade IV, gradual chronic onset, associated with cough(productive and white in color), no relieving factors. History of past illness: Not known case of DM, HTN, CAD, asthma. Treatment history: 12 years back took T...
