AMC 60yrs old male daily wage worker
bed 3 60yr/M A 60 yr old male daily wage labourer by occupation b came to the casualty with chief complaints of fever with chills since 10 days c/o dry cough since 10 days c/o burning micturition since 10 days patient was apparently alright 10 days ago and then developed high fever which was intermittent , associated with chills ,relieved with medication/o dry cough not associated with sputum since 10 days,SOB since 10 days which was intermittent C/o burning micturition since 10 days no c/o of vomitings, loose stools history of pulmonary kochs 3 yrs ago used ATT for 6 months , (coughassociated with sputum and low gade fever) past history not a known case oc HTN,DM,CAD ,CVA appetite- normal bowel movements- regular micturition- normal no addictions no significant family history general examination no pallor,icterus, cyanosis, lymphadenopathy and edema pulse rate: 104bpm BP: 110/80 mmHg respiration: 29/min spo2 : 98%at RA CVS s1,s2 heard RS : BAE + ,NVBS,...