A 30 year old female came to the OPD with c/o of shortness of breath since 7 years.

A 30 year old female came to the OPD with c/o of shortness of breath since 7 years.

HOPI:The patient was apparently asymptomatic 7 yrs ago then she developed difficulty in breathing which is of insidious in onset , intermittent,aggregated with walking and relieved on medication 

Associated with non productive cough since 1 year.

  She also complained of swelling in the neck, since 7 years.

No h/o fever

No h/o cold.

Past h/o:

N/k/c/o surgeries,DM,HTN, Allergies,TB

H/o asthma

Personal history:

Normal appetite,mixed diet,regular bowel bladder movements,adequate sleep