2nd internal assessment SRIVATSA GONWAR ROLLNO 48 long case: 28 yr old male patient came to opd with chief complaints: 1.Fever since 4 days 2.Cough and cold since 3 days HOPI : Patient was apparantly asymptomatic 10 yrs back then he had an accident and went to govt hospital then diagnosed as rupture of liver and underwent surgery for it Then after 5 yrs he went to govt hospital with chief complaints of vomitings , stomach pain in the right side of abdomen and was diagnosed with acute appendicitis (antibiotics were given) was referred to our hospital where appendectomy was done. Now he presented to opd with fever since 4 days which is sudden in onset , intermittent (evening rise of temperature) for which he took rest Fever is associated with chills and rigor. Then next day he developed cough which is intermittent and productive. Sputum is in yellow color and non blood tinged. Nocturnal variation is seen(increased during nights).No postural variation Shortness of breath is seen followin