A 65yr old female came to the casuality with the chief complaints of SOB



A 65yr old female came to the casuality with the chief complaints of SOB since 30mins it was gradual in onset, progressive , since 11pm 
Which increased on supine position and relieved on sitting

There was a similar complaint on 12/9/21

She is k/c/o HTN since 7months and is on Tab concor 5mag since 10days
She is k/c/o of DM,TB, Asthma,epilepsy
It was not associated with palpitations,giddiness, sweating, blackouts, blurring of vision, fever , cold, cough, generalised weakness, burning micturition.

General examination
Pallor, icterus, cyanosis , clubbing, lymphadenopathy : absent
Edema : B/L mild pitting type upto shin of tibia

Vitals:
Temperature: afebrile
Pulse rate 72 bpm
BP: 140/90 mmHg
SpO2: 92% with room air
Respiratory rate: 23cpm

Systemic examination
RS: BAE+
CVS: S1S2 +
PA: soft non tender
CNS: no FAD

F/U:
The patient didn't recieve any medication on tht day and her SOB subsided  and is completely fine now...
She is just continuing her hypertension medication

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