15 c Abhishek medical assignment

  A 45-year-old female tailor by occupation came to the hospital on 2/6/22 with C/O fever on and off, associated with generalized body pains, loss of appetite for 3 months  C/O  facial rash since 4-5 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 years back then she developed joint pains, the fleeting type associated with morning stiffness for 10 min , not associated with swelling for 2 months for which she was treated at a private hospital and found to have?RA factor positive  patient was asymptomatic until 8 months back then she developed joint pains? post covid vaccination was treated at a private hospital with medications. 1 month back patient was having an episode of loss of consciousness with cold peripheries with sweating [grbs 7mg/dl] after taking Tab Glimi M2 prescribed by a local practitioner for high sugars?250mg/dl 10 days back patient developed fever and abdominal pain for which she was treated at a private hospital later she developed an erythema

A 51 year old patient who is a resident of chitayala ,who works is a labourer in a goods company came to the hospital with chief complaints of: Fever since 10 days  Shortness of breath since 10days  Cough since 7 days  HISTORY OF PRESENT ILLNESS : The patient was apparently a symptomatic  10days back then he developed high grade fever which was insidious in onset associated with chills and rigours and was relieved on taking medications . The patient was able to walk a kilometer 10 days back and later slowly was facing shortness of breath even after walking for short distances and which became so severe that even at rest he was feeling shortness of breath .Not associated with wheeze ,no Orthopnea,no paraxsomal nocturnal dyspnea ,no pedal Edema. Cough since 7 days which is productive mucoid in consistency, whitish,scanty in amount ,non foul smelling, non blood stained .more during night time and on supine position.right sided chest pain diffuse , intermittent ,dragging, aggravated on cou