88 yrs old Female came to casualty with......
A 88 yrs old Female presented to casualty with C/o irrelevant talk and altered mental status since 10 days Shortness of Breath since 3 days Cough since 3 days HISTORY OF PRESENT ILLNESS: Patient was asymptomatic 10 days ago and then developed altered mental status on & off and her speech being non cohorent at times and later becoming normal by herself , each episode lasting for 10- 15 mins . Productive cough 2 days ago Now dry cough Shortness of breath since 3 days initially grade III progressed grade IV in these 3 days. Later went to outside hospital and 2 D echo was done 2 D echo ( CAD , LAD + territor) , Global Hypokinesia , Severe LV dysfunction No history of chest pain , palpitations , giddiness. HISTORY OF PAST ILLNESS: N/ K/C/O HTN , DM , CVA , Epilepsy , Asthma PERSONAL HISTORY: DIET: MIXED APPETITE: DECREASED BOWEL AND BLADDER MOVEMENTS: REGULA...