190 Rahul.Y

A CASE OF 40 YEAR OLD WITH FEVER AND SOB AND LEFT LL SWELLING since 3 days

A came to casuality with c/o fever since 3 days 
SOB grade 2----> 4 since 2 days 
LL swelling and redness since 1 day.

Patient was apparently asymptomatic 3 days back and then he developed fever which was low grade, intermittent, relieved ontaking medication and not associated with chills and rigor.
He has SOB, No orthopnea or PND or pedal edema or chest pain or palpitations.
He applied ointment for leg pain over right foot and later he developed redness and swelling over right foot and with these complaints they went to outside hospital and on presentation to the outside hospital vitals spO2-74% on RA with BP 70/40. He was put on CPAP and inotrope support and reffered to our hospital

General Examination:
Patient is C/C/C

No pallor, icterus, cyanosis, clubbing, koilonychia, lymphadenopathy, edema

Vitals:
Temp - 100 F
PR- 104 bpm
BP- 100/70mmHg
RR- 28 cpm
SpO2- 97% at RA
CVS: S1 S2 +
RS: Decreased BAE 
B/l crepts present in IAA and ISA
P/A: soft and non tender
Limb examination:












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