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51years old with fever, cough and Shortness of breath

  I've 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.  Hallticket no- 1701006084 FINAL PRACTICAL - SHORT CASE 51 year old male patient who is resident of Suryapet ,and works in transportation company came to the hospital with  CHIEF COMPLAINTS   Fever since 10 days Cough since 10 days  Shortness of breath since 6 days  HISTORY OF PRESENT ILLNESS: Fever since 10 days which is high grade , with chills and rigors , intermittent ,relieving with medication. Cough since 10 days which is productive ,mucoid in consistency,whitish ,scanty amount ,more during night times and on supine position ,non foul smelling ,non bloodstained . Right sided chest pain - diffuse , intermittent dragging type , aggravated on cough ,non radiating not associated with sweating ,

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