a 70year old female with acute exacerbation of asthma with type 2 dm

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 I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, and investigations, and come up with a diagnosis and treatment plan.

This is a case of 70 year old female hailing from nalgonda came with the 
Chief complaints:-
Shortness of breath since 20 days.

Hopi:-
   The patient was apparently asymptomatic 20days back then she developed shortness of breath which was insidious in onset and gradually progessive associated with wheeze aggrevated on lying down in bed and relieved on sitting exposure to cold and dust. 

Patient also had a complaint of dry cough occasionally which last for 1 week and with no aggrevating and relieving factors.
No h/o of fever, chest pain ,chest tightness,hemoptysis, sweating and palpitations .

Past history:-

H/o similar complaints in the past 20 years.
K/c/o asthma , diabetes mellitus -2,
No history of tb, htn , epilepsy, thyroid disorders.

Treatment history:- patient was using Rota haler (fluticasone) , medication for diabetes.
Personal history:-
Married 
Diet:- mixed
Appetite :-normal
Bowel and bladder :- regular and normal
Addictions:- nil

General examination: -
The patient is conscious, coherent, cooperative and well oriented to time place and person.
Vitals:-
Pulse:- 110beats /mim
Rr:-20 cpm
Bp:- 130/80mmhg.


No pallor
No icterus
No cyanosis
No clubbing
No palpable lymphnodes
Edema:- bilateral pitting type of edema upto ankles

Systemic examination:-
Rs:-
Inspection 
Shape of the chest -
Trachea position is central
Symmetrical movements of the chest with 
respiration.
No presence of any sinuses , scars, engorged veins

Palpation:-
No rise if temperature and no tenderness
All inspiratory findings are confirmed

Percussion:-
Resonant note is Heard

Ascultation:-
Vesicular breath sounds heard
Bilateral basal crepitations and wheese are heard.

Cvs:-
S1 s2 heard with no murmers

Perabdomen:-
Abdomen is obese
No palpable spleen ,liver, lymphnodes.

Investigations:-

Provisional Diagnosis:-

Acute exacerbation of asthma with diabetes mellitus type 2

Treatment:-
Budesonide nebulizer suspension
Inj augmentin iv /tid
Inj pan 40mg iv/od
Inj lasix 40mg iv/bd
Inj hydrocortisone 100mg iv/bd
Insulin subcutaneous/tid
Inj noh s/c bd
Tab azithromycin
Tab prednisolone






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