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60 year-old lady with SOB on exertion and productive cough

A 60 year-old lady hailing from Chintapally came to the hospital with the chief complaints of shortness of breath on exertion since 1 month, cough with expectoration since 3-4 days. History of present illness:   Patient was apparently asymptomatic 1 month ago when she developed shortness of breath.  C/O SOB on exertion since 1 month (Grade II)  C/O cough with expectoration since 3-4 days a/w generalized weakness.  Not associated with chest pain, giddiness, sweating.  No h/o Palpitations.  No h/o fever, cold, sore throat, night sweats, no h/o loss of appetite.  No h/o nausea, vomiting, loose stools. No h/o decreased urine output. No h/o burning micturition, pedal Edema. No h/o rashes. Past h/o:  No history of Diabetes Mellitus, Hypertension, Tuberculosis, Bronchial Asthma, CVA, CAD.  Family history : Not significant  Personal history :                            Diet- Mixed                  Appetite- Normal                  Sleep- Adequate             Bowel and Bladder movements- regula

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