A 49 year female with HFrEF secondary to? CAD
A 49 year old female came in to casualty with chief complaints of fever since 10 days, cough since 10 days, SOB since 2-3 days, decreased urine output since yesterday. History of presenting illness: Patient was apparently asymptomatic 10 days back then she developed fever which is of incidious in onset, intermittent in nature and is of low grade fever, subsided on taking medication. cough since 10 days which is associated with sputum and scanty in amount sob on excertion 5 to 6m months back Progressed to grade 4 ( at the time of presentation) and worsening. pedal edema since 5 to 6 months which is associated facial puffiness. decreased urine output since yesterday night. H/o covid vaccination 8 days back. Past history: k/c/o HTN since 1 year and is on Tab. TELMA-H (40/12.5 MG) - but is Irregular in taking medications. -? k/c/o kidney disease 5-6 years back but not on any medications. No history of DM, CAD, asthma, TB, epilepsy. No h/o similar complaints in the past....