I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations and come up with a diagnosis and treatment plan. A 65 year old male patient, resident of Thurkapallem, shop keeper by occupation came to the OPD with chief complaints of Chief Complaints: Fever since 6 days Breathlessness since 3 days History of Presenting Illness: Patient was apparently asymptomatic 6 days back, then he developed cold and cough with expectorant (green, mucoid) which has now subsided. He developed fever since 6 days, high grade, continuous and not associated with chills and rigour. Relieved on taking medications prescribed by local RMP. Complaints of decreased appetite since 4 days. Shortness of breath since 3 days - Grade 2 No history of hemoptysis No history of tightness in chest ...
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