severe myoclonic epilepsy

52yr male pt c/o- severe Left sided chest paint and burning sensation over chest since 1 hr,restless,palpitation. Bp-110/60,pulse-58,spo2-98%@ rm air.

48/Male Presented with Severe Chest pain Since 1 Hr with Mild Dyspnoea and Left Arm Radiating Pain. History of Smoker and Stopped Alcohol 5 Year Back Pulse: 86 /min Spo2: 95% on RA BP: 140/80 Attached ECG

60yr male Patient came with complaint of chest pain, exertion, profuse sweating. Patient is Hypertensive and taking telmisartan as antihypertensive. What are the findings in ECG. What is the diagnosis and what will be further treatment plan.

#INTERNAL_MEDICINE A 40 yo British woman presents with retrosternal chest pain that radiates to the back. There is associated difficulty swallowing, regurgitation, & heartburn. She did respond to calcium channel blocker and proton pump inhibitor. Her barium swallow x-ray is as shown below. What is the most likely diagnosis? A. Achalasia B. Angina pectoris C. Diffuse esophageal spasm D. Myocardial infarction

A 26 years old male comes to ER with complaints of severe sub sternal chest pain, radiating to jaw and left arm, from last one hour. Associated increased shortness of breath and perspiration. Patient does not have HTN or Diabetes. ECG done in ER shows characteristic changes. Diagnosis ?