50 year old female patient with fever and varicose veins

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A 50 year  old female patient  came to the op with a chief complaints of cold and cough  since 15 days ,fever since 4 days , and difficulty in breathing  since last night 

History of presenting  illness: 
The patient  had cold and cough since 15 days , they were insidious  in onset and gradually progressive , cough was of occasionally productive  type , there are no aggregating  factors but relieved  on medications ( ciritizine) . The fever is a high grade type  , intermittent relieved on medication (paracetamol  ), and was associated  with body pains especially  lower back and legs , nausea , chills and rigor . The patient had difficulty  in breathing since last night which was aggrevating on lying in supine  position  and slightly  relieved  on walking .No history of vomitings .
Past history  : 
No history of HTN, diabetes ,epilepsy ,CAD,CVD,thyoid issues,asthama .
She has varicose veins 
Personal  history  ; 
Mixed diet 
Reduced appetite 
Disturbed sleep 
Foul smelling urine 
No burning  micturition 
Normal bowel movements 
General examination  : the patient was moderately  built ,well nourished, conscious and coherent 
Pallor is present 
No icterus , cyanosis ,clubbing, lymphadenopathy and ,edema 
Bp : 100/60 mm of Hg
RR:14bpm 
Pulse: 60 ( low volume ) 
Temp: febrile 

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