Your patient history is quite interesting. It is so sad that he has a lot of violent death in his family. Such violent death history necessitates the need to explore the patient’s thought about those deaths. This is necessary because it may have some psychological or emotional impact on the patient’s life. It must be important to the patient because he is the one that included as part of his history. It will not be out-of-place to assume that the incidence may have an impact on the patient’s life. Diabetes and smoking is a very important part of your patient’s history. Diabetes mellitus is a risk factor for tuberculosis (TB) disease (Reed, et al., 2013). Some study on the effect of smoking and diabetes shows that diabetes and smoking are independent
