Vavilikolanu Sowmya

  Daily routine: He is a farmer by occupation, working from 25 years Patient wakes up at 5:00 am in the morning He helps in household chores, has breakfast at around 8 am and goes to farm He eats lunch - rice with dal/curry at around 1:00 pm He has a cup of tea at around 5:00 pm He finishes his work by 6:00 pm He finishes his dinner at around 9:00 pm Goes to bed at around 10:00 pm CHIEF COMPLAINTS: Patient came with complaints of 1. Cough with sputum since 10 months 2. SOB grade II-II (MMRC) since 10 days. - B/L grade 2  3. pedal edema since 3 days HOPI - Patient was apparently asymptomatic 10 months ago then he had cough with white mucoid, non blood stained, copious sputum. 2 months ago then he developed fever which was insidious in onset, high grade for 2 days for which he went to a local RMP at Miryalagudem, where he was given medication and the fever reduced. Since then the patient gives history of intermittent episodes of fever for which he took medication from the same RMP. Patie

Daily routine: He is a farmer by occupation. Resident of Miryalagudem Stopped working 2 years ago due to right femur fracture and old age. Wakes up at around 7:00 am in the morning. Eats breakfast by 8:00 am. Goes to his farm and monitors work. Then comes back to his house in the afternoon and has lunch by 1:00 pm. Sleeps for a while in the afternoon  He has a cup of tea in the evening at around 5:00 pm , watches TV for a while and has dinner at around 8:00 pm and goes to bed at around 9:30 pm. Chief complaints: Patient was brought to casualty with c/o shortness of breath Grade III MMRC since 20 days HOPI Patient was apparently asymptomatic 1 year ago when he developed angina and SOB Grade III and went to a hospital in Hyderabad  where he was diagnosed with CAD-evolved IWMI MOD LV DYSFUNCTIONLRTI BASAL ATELECTASIS Coronary Angiogram was done through radial route on 15/11/22 - PTCA-STENTING TO MID LAD WITH 2.5X28MM(ALPINE) DONE ON LMCA-NORMAL LAD-TYPE III VESSEL, MID tandem lesions with