1602102069 SHORT CASE

A 75 year old came to casualty with c/o fever cold cough since 4 days.


At present since 10 DAYS , patient had decreased appetite, generalised weakness> took OHA and didn't take any food. Then Patient experienced 1 episode of hypoglycemia GRBS: 18 mg/dl ( frothing and uprolling of eyes). Then his attender gave him sugar water and 25 D Infusion in ambulance- Recovered.
Had similar episode 2 days back.
decrease in Appetite since 10 days.

C/o fever since 4days high grade, intermittent,not associated with chills and rigors,relieved on taking medication.
C/0 cough since 4days, productive type,whitish in colour,moderate amount,non blood stained,non mucoid. 

H/o Diabetes since 10 years
H/o pulmonary kochs used ATT for 6months 3yrs back

Addictions: Chronic smoker (chutta) 5-6/day for 30 years


O/E:
Temp: 96.9 F
PR: 68 bpm.
BP: 120/90 mm hg.
Spo2 : 98% @ RA.
CVS: S1 S 2 heard
RS: wheeze+ fine crepts+ bilaterally.
P/A : soft, non tender.
CNS: NAD.

PROVISIONAL DIAGNOSIS: Chronic bronchitis with type2 DM


















DIAGNOSIS:  Chronic bronchitis
Type-2 DM

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