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DEIDENTIFICATION  :  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CONSENT :  An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references Documentation : is being done on 6th of september 2022 (Updates will be done later in the future with dates mentioned for the same)  My patient  is a 60 year old man , resident of ramulapeta, who is a daily wage labourer in construction work. CHIEF COMPLAINTS He presented  to us with chief complaints of Dry cough since 10 days  Dragging type of pain in both upper limbs since 10 days Lower back pain since 10 days Shortness of breath Grade 2 Chest pain near heart since 10 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 1 year ago . He then noticed involuntary movements of...