Concluded Case

Pulmonary Embolism

30 year old 123 kg male with no preexisting comorbidities presented to ER with c/o sudden onset dyspnea on exertion since 2days and an episode of giddiness followed by presyncope while climbing stairs of his building. He regularly goes to gym n do heavy weight training.One month back after one such heavy session in gym he developed left calf tightness n pain which was relieved after 2days after receiving tab augmentin and some pain killers. As of now no calf tenderness or pain ..distal pulses well felt. BP 120/80 RR 39/minute Pulse 128/minutes SpO2 92% on room air. ECG done...what should be provisional diagnosis n further plan?

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Concluded answer

S1Q3( doubt about T3) S.Tachycardia T wave inversion in v1 to v3 P.E until proven otherwise

All Answers

S1Q3T3 pattern.. . T inversion in v1 v2 v3 leads... I think this shd be strongly investigated with echo, stress test, holter monitoring and rule out the presenve of aberrant pathway via dynamic testing...

Yes sir it's S1Q3T3..
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Sinus tachycardia and diffuse T wave flattening and inversion in multiple leads. In view of symptoms r/o pulmonary embolism.

S. Tachycardia Inverted T wave in v1-2-3 S1q3pattrrn

S1Q3( doubt about T3) S.Tachycardia T wave inversion in v1 to v3 P.E until proven otherwise

Yes..it was a PE....d dimer level above 4000...n uploading CTPA image....thanks for contributing to discussion

Yes..it was a PE....d dimer level above 4000...n uploading CTPA image....thanks for contributing to discussion

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