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55F Diabetes hypertension 6 years, DKA, Fever, Cough since 3 weeks

55F Patient came to opd with  c/o  
1. Fever since 3 weeks
2. Cough since 3 weeks 

Patient was apparently asymptomatic 3 months back then she developed fever, insidious, progressive, no diurnal variation, low grade not associated with chills and rigors.

C/o cough - dry, not associated with sputum, more during the nights and increased in supine position.
No case of burning micturition, decreased urine output.

H/o polyuria and nocturia 

C/o decreased appetite

No C/o SoB/ palpitations/ chest pain/ orthopnea 

Past History:-
K/C/O HTN since 6 yrs, and is on unknown regular medication

K/C/O DM2 since 4 yrs, and is on Tab. Voglibose 0.2mg PO/BD

Personal History: 
Appetite- Normal
Diet- Mixed
Sleep- Adequate
Bladder and Bowel movement- Regular 
Addictions - none

Family History: not significant

GENERAL EXAMINATION:-

The patient was examined in well lit room after taking her consent.

The patient was conscious, coherent and co operative. She is well oriented to time, place and person
No Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy. Edema present (Pitting type)

On examination:-
BP- 140/90
Temp- 97.2F
Pulse- 86 BPM
RR- 16
SpO2- 98


Investigations:
13-10-2023
14-10-2023

Montaux test was done-



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