Prolonged Shortness Of Breath In A Middle Aged Female

A 51-year-old female was admitted to the hospital with a chief complaint (CC) of  shortness of breath (SOB) for 1 week and  pain in the right thigh x 3 weeks.The SOB was not getting better with the aerosol treatment. She also complained of occasional orthopnea and paroxysmal nocturnal dyspnea (PND).The right thigh pain started 3 weeks ago, in the medial part of the right thigh, throbbing in nature, associated with redness.The patient complained of swelling in the same region which had progressed over the past few days. She denied fever or chills. Past medical history (PMH) Asthma, congestive heart failure (CHF), diabetes melitus (DM), anemia, pancreatitis, hypertension (HTN), shingles.

Past surgical history (PSH) Cholecystectomy, thyroidectomy. Family medical history (FMH) Diabetes melitus (DM), hypertension (HTN). Physical examination Obese lady in NAD VS 36.7- 88-18-176/95 SpO2 95% on…