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A 45 YEAR OLD MALE WITH PAIN IN THE ABDOMEN

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  VIJAYA RATNA 34 A 45 year old female farmer by occupation resident of nalgonda came to casualty with chief complaints of            Epigastric pain since 2 days         Shortness of Breath since 1 day [ Grade I to Grade II]          Cough with expectoration since 1 day HISTORY OF PRESENT ILLNESS          The patient was apparently asymptomatic till today evening.Then she developed  sudden episode of shortness of breath,progressive from grade I to grade II with wheeze.No diurnal and postural variation.Burps present. She even had H/o epigastric pain since 2 days. c/o cough with expectoration since 1 day,sudden in onset,mucoid, on and off ,no foul smelling,no hemoptysis. No c/o of fever or chest pain , chest tightness , decreased urine output , palpitations, sweating. HISTORY OF PAST ILLNESS Not a known case of Hypertension,DM,CAD,Epilepsy,TB No loss of weight,No loss of appetite PERSONAL HISTORY Appetite - Normal Mixed Diet Bowels - Regular Micturition - Normal No Allergies No other ad