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This blog aims at providing cutting edge and wide array of information over the distinguished cases evaluated to the best of my understanding. This was done under the guidance of our seniors https://mvineelarollno90.blogspot.com/2023/11/65-y-female-with-co-fever-since-4-days.html Here I will state the question I was unable to answer and my learning based on them First off a brief history 65 Y Old female came to casualty with C/O fever since 4 days,Shortness of breath since 2 days,pedal edema since 2 days. Patient was apparently asymptomatic 2days ago then she developed SOB of grade 3 of insidious onset,gradually progressive associated with fever of high grade associated with chills and rigors. No H/O cough,sore throat. Pedal edema present ,ulceration over right foot associated with pain and swelling present . No C/O abdominal pain,loose stools,vomitings nausea. And hence after a series of investigations Diagnosis-Type 2 DM,K/C/O CAD S/P CABG I 2020,K/C/O HTN,AKI on CKD ,Diabetic f