History A 48‑year‑old male presented with retrosternal burning persisting for ~5 years, initially 1–2 times per week post‑prandially, now occurring daily and nocturnally. Associated symptoms included cough, regurgitation, acidic taste, postprandial fullness, and early satiety, worsened by spicy food, bending, or lying flat. Sleep was significantly disturbed. He reported recurrent shortness of breath over 4 years, diagnosed as bronchitis, with severe cough episodes often stre

Abstract This is a case of a 56-year-old woman who has had high blood pressure for 8 years, type 2 diabetes for 6 years, and high cholesterol. She started experiencing worse symptoms, including trouble breathing when active and even when resting, difficulty breathing while lying down, sudden nighttime breathing problems, a dry cough, tiredness, a 3 kg weight gain, and mild chest pain. The initial evaluation of the cardiovascular examination revealed JVD (jugular vein distensi

A 24-year-old female presented to the outpatient clinic with a two-week history of high-grade fever accompanied by generalized myalgia, fatigue, severe frontal headache, and watery, non-bloody diarrhea occurring three to five times daily. She also reported poor appetite, progressive weakness, and noticed brownish pigmentation in urine over the preceding few days. The symptoms had initially begun with abdominal pain and headache before progressively worsening. The patient had