MANASA KALE ROLL NO :64

 CASE HISTORY:     48 year old male toddy tree climber by occupation from past 30 years . patient presented on 12/2/22  to the hospital with complaints of shortness of breath , chest pain due to cough. HOPI : patient was apparently 4 days back then he developed high grade  fever associated with chills , rigors and relived with medication . ASSOCIATED SYMPTOMS:   dry cough more at nights , SOB due to excessive cough.      1 episode of vomiting associated with food particles 1 day back - non bilious, non projectile, non blood stained. Pt had similar complaints of fever associated chills and rigor in the past since 5 years 4 years back pt got hospitalized with fever and chills and got diagnosed with DM , on OHA ( metformin hydrogenchloride  ) - skips medication due to alcohol abuse. In past 5 years , pt had 5 - 6 hospital admissions with similar complaints due to heavy drinking  and got diagnosed with fatty liver and jaundice. H/o seizures  since 5 years  4 - 5 episodes in last 5 years ,

  THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CASE HISTORY:   A 33 YEAR OLD MALE AUTO DRIVER BY OCCUPATION CAME TO THE HOSPITAL WITH THE CHIEF COMPLAINTS OF PUS OOZING OUT FROM THE LEFT UPPER MOLAR REGION ON 10 OF FEB 2022 HISTORY OF PRESENT ILLNESS: PATIENT WAS APPARENTLY ASYMPTOMATIC 60 DAYS BACK THEN  HE DEVELOPED PAIN, SWELLING AND CREAM COLOURED PUS DISCHARGING FROM THE LEFT UPPER THIRD MOLAR REGION WHICH IS SUDDEN IN ONSET.THEN HE VISITED A DENTIST FOR WHICH HE PRESCRIBED MEDICATIONS AND THEN THE PAIN, SWELLING AND PUS DISCHARGE GOT RESOLVED. AFTER 5 DAYS OF THE MEDICATIONS THE PATIENT AGAIN DEVELOPED PAIN AND SWELLING IN THE SAME REGION AND AGA