68yrs old man with cough and fits since 3yrs

Nam_xxx
Age/sex_68yr/male
Occupation_former
68yr old man with cough and fits since 3yrs.....
C/o__
Cough with expectation since 3yrs..
Breathlessness. ...during walking..
Sometime occur fever....
Vertigoin morning time since 3yrs...
Eye_lacrimation since 8_10yrs
Vision_⬇ed
Thirst_3lit in a day
Gait _ normal
Posture_normal
Appetite _proper
Tongue _white coated
Urine_normal quantity and color
Motion_1_2tim in a day bloody stool 5month back
Tobacco_occasionally
Smoking_ 20_30yrs (left 10yr back)

 
Past/history __

Investigation ___

Surgical /history __ rt side cataract operation 3month ago

chest Examination __ B/L crepitation

PA_soft