General Medicine Case Discussion

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 , investigations and come up with a diagnosis and treatment plan. A 80 year old patient came to the casualty with the chief complaints of : 1. Shortness of breath (grade III) since 3 hours 2. Loose stools - 3 episodes on 19/10/21 3. Fever since 6 days which is associated with chills and rigor. He used to smoke 18 beedis/day , smoked for 30 years. After he was diagnosed with Tuberculosis (took treatment for 2 years) , he stopped smoking. He was an alcoholic , took 90ml/day and stopped 1 year back, now takes occasionally during social gatherings. He had a history of repeated falls 1 year back , for which he went to the government hospital. Initially the patient was told that he had low blood pressure, then after 5 months , he was diagnosed with hypertension and star

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 , investigations and come up with a diagnosis and treatment plan. A 40 year male , farmer by occupation came to the casualty with the chief complaints of : 1. Complaint of fever since 5 days. 2. History of vomiting 5 days back. The patient was apparently asymptomatic 5 days back, then he took the Covid Vaccination. Since then he is having fever associated with chills and rigor, no diurnal variation, not associated with sweating, subsided on taking medication. There was history of 2 episodes of vomiting 5 days back which was non bilious, non projectile and was not associated with pain abdomen. The patient had no complains of headache, palpitations, shortness of breath or pedal edema. The patient is not a know case of Hypertension or Diabetes Mellitus. The patient