A 78 year Old male came to medicine OPD with shortness of breath and cough
Chief complaints A 78 year old Male patient came to opd with chief complaints of shortness of breath since 30 days History of present illness: Patient was apparently asymptomatic 4 yr back and then he developed right leg swelling(filariasis) not taken any medication 3yrs patient had history of trauma to left leg (internal fixtures ) since one month patient complaints of breathlessness (grade 3) insidious in onset gradually progressive aggrevated on walking and no seasonal variation. 15days back patient had decreased urinary out put for which urethral stiture dialation done one week back H/o orthopnea since 3 days H/o weight loss from 2 week H/o dry cough since 4 days No h/o fever No H/o burning micurition H/o urgency to urination, increased frequency of urination. No H/o adequate sleep(OSA?) 6months back he has localized biilateral swelling on of legs Exertional sob Past HISTORY: He has no history of hypertension and diabetes No h/o asthma, epilepsy, tuberculosis. H/o trau