26 yr old female with shortness of breath,and syncopal attacks,giddiness. Diagnosis

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MODERATE CARDIOMEGALY. LEFT HEART BORDER STRAIGHTENING. RPA PROMINENT MIDDLE AGED FEMALE WITH BREATHLESSNESS AND SYNCOPE. .. RHD..MS WITH MR ..PHT. .CCF. .POSSIBLE IN THIS PT

The right answer is Eisenmenger SYNDROME. Chest X-ray shows dilatation of central PULMONARY aa and pruning of peripheral PULMONARY aa, right ventricular and atrial enlargement. Left to right shunts such as ASD, VSD and PDA cause increased PULMONARY blood flow.With time, high PULMONARY vascular resistance will develop,u ultimately causing right to left shunt. Later heart would return to normal size.

How can we differentiate between primary pulmonary HTN vs eisenmenger symdrome?
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Cardiomegaly with mitral valve pathology mitral stenosis with regurgitation.Rt hilar prominency . Lt hliar lymphnodes Rt basal consolidation . Pulmonary hypertension with ccf.Do echocardiography .Lt atrium thrombus?

Cardiomegaly with straighting of heart border ? RHD To be confirmed with echo with congestive heart failure diuretics TOC

cardiomegaly with left heart border straight. right and left pulmonary vessel are prominent. b/l mid and upper zone hazzy(?bat wing ). 1) ms 2) pulmonary edema with pul. htn. advise:- ecg and echo to rule out the pathology

Cardiomegaly with straightening of left heart border with pulmonary hypertension Probably RHD-MS with MR in CCF Do echo to confirm diagnosis & also to look for Aortic stenosis as history of syncopal attacks

Pulmonary hypertension. With RA and RV enlarged. Probably normal size LA. 1st dd - Primary pulmonary hypertension Need to rule out MS though.

agrred with suresh sir one more possibility could be PPH

Thank you sir
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Pulmonary cones bulging with straight left border.Possibility RHD or acyanotic heart disease

Valvular disease

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