Concluded Case

cardiac tamponade ??

25/f c/o b/l pedal swelling,dysponea on exertion,easy fatigability,orthopoenea since 15 days,and decreased urine output since 3 days.her ecg and x ray are attached kindly comment on diagnosis and treatment. She was treated for pul kochs 4 yrs back.

1 Like

LikeAnswersShare
Concluded answer

X ray s/o large cardiac shadow with smooth clear margins , lung field s/o emphysema changes along with low voltage complexes in ECG favouring pericardial effusion Get drainage of same and also look possibility of tubercular changes in the same

All Answers

Calcified fibrochachiatic lesions apical zones b/l Artifacts are seen lt side Ecg is WNL Past h/o pulmonary tuberculosis Present status is COPD Bronchodilators Diuretics Inhalation budenoside+duolin Sos get PFT done Nutritional and high protein diet

Thanx dr Kute Ankush
0

View 1 other reply

Past history of PTB Calcified fibrobronchiectatic lesions both Apical regions Emphysema COPD Ad Seroflo and Duoline rotacap inhalation through rotahaler sos Diuretics Spirometery sos

Thank you doctor
0

CXR..STUDY.. BL .. APICAL..CALCIFIED .. FIBROCHIATIC .. INFILTRATIONS .. COPD..EMPHYSEMA.. ECG STUDY .. NAD .. NEED'S .. FURTHER EVALUATION..

Thank you doctor
0

View 1 other reply

Chest calcified spots bl but especially in rt apex ,fibrotic band lt apical region. ECG low voltage and nonspecific changes C/F and ecg suggest pericardial effusion,reactivation of kock,s infection likely MDR tb.

Thank you doctor
0

X ray s/o large cardiac shadow with smooth clear margins , lung field s/o emphysema changes along with low voltage complexes in ECG favouring pericardial effusion Get drainage of same and also look possibility of tubercular changes in the same

Thank you doctor
0

Low voltage ecg with wide PWave Chest xray show fibrocalcified lesion bilateral side, more on RT side Cardiomegaly Advice 2D echo COPD with cardiomegaly

Thank you doctor
0

Tuberculosis Low voltage ecg

Follow up case of bilateral Koch, s.

Doctor is patient under the action of Digoxin or CCBs or Beta blocker or any anti arrhythmic drug?

Thank you doctor
1

View 1 other reply

Diseases Related to Discussion