35 year old male came with C/o occasional palpitations and SOB since 3 months.

This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.

DEIDENTIFICATION -

The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever.

CASE DISCUSSION -

35 year old male came with C/o occasional palpitations and SOB since 3 months.

HOPI-

Patient was apparently asymptomatic 3 months back, then started developing occasional palpitations, relieved on consuming alcohol, not a/w chest pain.

He developed SOB since 3 months, Grade 2, insidious in onset, gradually progressive, no aggravating and relieving factors.

C/o decreased appetite since 2 months.

C/o generalised weakness since 10 days.

No H/o orthopnea and PND.

No C/o fever, decreased urine output, burning micturition, pedal edema.

PAST HISTORY-

Not a k/c/o DM, HTN, CVA, CAD, TB, Epilepsy.

PERSONAL HISTORY-

Addictions- Patient is a regular drinker since last 15-16 yrs, drank 180mL whisky every evening.

Then 5 months back had sudden resistance to alcohol, started feeling disgusted even at the sight of alcohol so he left alcohol for 1 month.

After 1 month he started developing tremors, palpitations which subsided on drinking, so gradually started drinking more, currently drinking 360mL to 540mL of whisky daily.

No other addictions.

Appetite- Decreased

Diet: Mixed

Sleep: Adequate

Bowel and bladder movements: Regular

Family History:

Not significant.

General Examination -

Patient is examined in a well lit room with adequate exposure, after taking the consent of the patient.

He is conscious, coherent and cooperative.

Built & nourishment-Moderate

Icterus - Present