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DIFFERENTIAL DIAGNOSIS

3 to 4 Million

Worsening of symptoms noted. Now with increase in frequency of dyspneic episode. Patient took salbutamol nebulization for 2 doses. which afforded slight relief. No consult done.

Still with above symptoms. Now with no relief upon nebulization. Patient sought consult in our institution and subsequently admitted.

Still with above symptoms. Now associated with SOB. No chest pain, lightheadedness, or sleeping disturbance noted. No medications taken. No consult done.

Still with above symptoms. Patient suddenly experienced nighttime awakening associated with air hunger and diaphoresis which resolved spontaneously after drinking a glass of water. No other associated s/sx noted such as chest pain of changes in sensorium noted. No consult done.

HISTORY OF PRESENT ILLNESS

Sudden onset of DOB, accompanied with body weakness and easy fatigability. No medications taken. No consult was done.

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