17 Bhavya Ranjan
51 year old male patient who is resident of chityal ,and works in a transportation company came to the hospital with complaints of 1- Fever since 10 days 2- Cough since 10 days 3-shortness of breath since 6 days History of presenting illness : Patient is apparently asymptomatic 10 days back then he developed. Fever since 10 days which is high grade , with chills and rigors , intermittent ,relieving with medication. Associated with cough and shortness of breath. Cough since 10 days which is productive ,mucoid in consistency,whitish ,scanty amount ,more during night times and on supine position ,non foulsmelling ,non bloodstained . Right sided chest pain - diffuse , intermittent ,dragging type , aggravated on cough ,non radiating ,not associated with sweating , palpitations. Shortness of breath since 6 days , insidious onset , gradually progresive ,of grade 3 - (MMRC scale ),not associated with wheeze ,no orthopnea ,no Paroxysmal nocturnal dyspnea, no pedal edema . History of pain