Respected user, hi I evaluated your query thoroughly.
* Systemic disorder is present need to be evaluated either purely somatic or
psychosomatic ( more likely ) in nature.
* He needs intensive evaluation in the form of thorough history , physical
examination , necessary reports ranging from Laboratory parameters ,
X-ray chest , Pulmonary function test , CT /
MRI brain according to the
clinician`s judgement & then figure out the management plan
accordingly.
Hope this helps you.
Welcome for any further assistance.
Wishing him fine recovery from the same.
Thanks for using Healthcaremagic.com & reviewing my answer.
Regards dear take care.