SUSPECTED HEART FAILURE WITH PRESERVED EJECTION FRACTION
Ip no- 65 year old male patient presented to OPD with complaints of 1. Pedal edema since 10 days 2.shortness of breath since 10 days 3.fever and cough since 10 days Patient was apparently asymptomatic 10 days back then he developed pedal edema that started from lower limb and extended to trunk and then to face . No h/o decreased urine output Shortness of breath since 10 days ,patient is unable to walk for long distance and stops in between ,history of wheeze present ,no seasonal variation , chest pain ,no orthopnea ,no PND ,no h/o chest pain History of Intermittent low grade fever Since 10 days associated with productive cough- non foul smelling,mucoid in consistency No h/o loose stools,vomitings,pain abdomen ,burning micturition No h/o DM,HTN,ASTHMA,EPILEPSY,CAD Risk Factors: Chronic alcoholic - used to drink 160 ml/day for 40 years ,stopped 1 month back Chronic smoker- used to smoke 1 pack of beedi/day for 40 years and stopped 1 month back On examination : Patien