Hello everyone... I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties. CASE- A 55 year old female came to the opd with the chief complaints of 1.palpitations (since 2months) 2.chest pain (since 2 months) 3.associated with shortness of breath HOPI- patient was apparently asympotamatic 2months back then she started having chest pain on left side more on epigastrium, non-radiating -associated with palpitations -and started developing shortness of breath, around the same time, progressive in nature leading to present status of grade III-IV of dyspnoea. -associated with PND (patient wakes up for air hunger) since 2 months
