35 year old male came with shortness of breath

 Chief complaints: shortness of breath (7-10 days) grade 3 to grade 4 

Palpitations: 7 days 

Pedal edema: 2 days


HOP1: 35 yr old male patient bartender by occupation brought to casualilty with sob and cough.


Negative history: no history of vomitings, fever, loose stools, asthma,tuberculosis, hypertension


Past illness- shortness of breath since 1 month progressed last 10 days.Alcoholic since 15 years.



Personal History: Mixed diet

Bowel And Bladder-Regular 

 Sleep Adequate 

No Allergies And Addictions.

Alcoholic 


Family History: mother has shortness of breath


General Examination: 

Patient is Conscious, 

Moderately Built and Nourished.

Pallor Absent

Icterus Absent

Clubbing Absent

Cyanosis Absent

Lymphadenopathy Absent

Edema Present 


Vitals : 

Temperature - afebrile 

Pulse  140-160/min

B.P 130/90mmHg

SpO2:98%

GRBS: 132mg%


Lab diagnosis:














Treatment: 

Inj Amidarone 900mg

Inj Augmentin 1.29 IV

Inj Pan 40

Inj Optineuron Amp

Inj Thiamine 200mg

Inj Hyrocort 100mg 

Fluid restriction <1.5L/day

Salt restriction <2gm/day

Inj Lasix 40mg IV

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