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Patient complains of sudden onset pain in epigastrium region, retrosternal discomfort. ECG done. What is the diagnosis?
Dr. Kanika Kalra2 Likes37 Answers - Login to View the image
A male aged 45 years came to Emergency with complaints of pain Chest and Dyspnea...his Xray showed like this...what are the possible causes
Dr. Hardik Ahuja1 Like26 Answers - Login to View the image
66yrs/M presented with 3 days of dyspnea.Known Diabetic and Asthmatic on budesonide inhaler.He has never smoked.No H/o fever,dry cough or travel.COVID 19 ÑEGATIVE,LAB REPORTS ENCLOSED.ANY THOUGHTS?
Dr. Prashant Vedwan7 Likes24 Answers - Login to View the image
A 16yrs female admit in casualty due to c/o chest pain. on examination PR100bpm,no other positive finding.on investigation ECG normal, CBC normal, thyroid profile report T3 T4 FT4 TSH report attached.what is further management plz help me
Dr. Mahaveer Jakhar1 Like8 Answers - Login to View the image
Today my topic is on #Haemoptysis #Coughing of blood.Most of the peoples are worrying about this I will try to give solutions. Hlaemoptysis is the coughing of blood originating from the respiratory tract below the level of the larynx. Haemoptysis should be differentiated from: • Haematemesis - vomiting of blood from the gastrointestinal (GI) tract. • Pseudohaemoptysis - where a cough reflex is stimulated by blood not derived from the lungs or bronchial tubes. This may be from the oral cavity or nasopharynx (eg, following an epistaxis) or following aspiration of haematemesis into the lungs. Classifications of severity vary. Although volumes of 100 to 1000 mL of blood have been described as indicative of massive haemoptysis, no specific volume has been universally accepted. However, a large volume of expectorated blood alone should not define massive haemoptysis, but rather an amount of blood sufficient to cause a condition that threatens the patient's life is usually a more correct and functional definition of severe haemoptysis[1. Trachea or bronchus • Malignancy: • Bronchogenic carcinoma. • Endobronchial metastatic tumour. • Kaposi's sarcoma. • Carcinoid tumour. • Bronchitis. • Bronchiectasis. • Airway trauma. • Foreign body. Lung parenchyma • Lung abscess. • Pneumonia - bacterial (eg, Staphylococcus aureus, Pseudomonas aeruginosa) or viral (eg, influenza). • Tuberculosis (TB). • Fungal infection and mycetoma. • Hydatid cysts. • Goodpasture's syndrome. • Pulmonary haemosiderosis. • Granulomatosis with polyangiitis (GPA). • Behçet's disease. • Lupus pneumonitis. • Lung contusion. • 'Crack' lung. Vascular • Arteriovenous malformation. • Aortic aneurysm. • Pulmonary embolism (PE). • Mitral stenosis. • Other cause of pulmonary venous hypertension - eg, left ventricular failure (LVF). • Trauma. • Iatrogenic (eg, chest drain malposition, secondary to pulmonary artery catheter manipulation). Other • Pulmonary endometriosis. • Congenital or acquired systemic coagulopathy - eg, leukaemia. • Anticoagulant or thrombolytic agents. • Factitious haemoptysis. • There is a large list of therapeutics for the treatment of cough. Among them, the top-ranked include – Drosera Rotundifolia, Antimonium Tart, and Conium Maculatum • . Bryonia. This remedy relieves dry and painful cough, with dry throat and intense thirst. ... • Phosphorus. ... • Pulsatilla. ... • Rumex crispus. ... • Aconitum napellus. ... • Antimonium tartaricum. ... • Belladonna. ... • Chamomilla.
Dr. Drrajesh Gupta2 Likes5 Answers