38Y Male with breathlessness and pedal edema. Comment on CXR. will reveal past history in discussion.

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Cardiomegaly with Pulmonary oedema... Valvular defect.. Dilated cardiomyopathy.. Pericardial effusion.. Anemia.. Advised 2 D ECHO

dextro cardia with bi lateral lower lobe and apical lobe consolidation both Costo phenic angle r visible in x ray cardio megaly noted what past history copd may be patient have constipation gases shadow

Cardiomegaly is apparent.. however the rib cage looks like it's rigidly fixed..looks like ankylosing spondylitis with a heart failure..

?asso with restrictive lung disease with PAH with cor pulmonalae
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Scoliosis Dilated cardiomyopathy ?? Pericardial effusion NIV CAPAP/ BIPAP ( in view of scoliosis which contribute to chro respiratory failure) What is his HB s protein s albumin TFT RFT LFT

on CXR, biventricular enlargement, CHF leading to pedal oedema and breathlessness due left ventricular enlargement.

Dilated cardiomyopathy with CCF with pedal oedema and breathlessness

k/c/o Pectus carinatum, kyphoscoliosis, Restrictive lung disease with Right Heart Failure. Severe RV dysfunction, Severe Pulmonary Hypertension.

Congestve heart failure, effusion cardiomegaly. Treat with diuretics (monitor electrolyte), also can give nebulizer to relieve breathlessness and enable easy breathing. Get 2D echo done, monitor ecg. Limit fluid intake to less than 1.2 litres per day.

Monitor sodium & potassium. Admit patient for a day or two. Cardiac failure Rx ACE inhibitors, Digoxin can help too. If patient in failure then start with inotropes also.
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lvf +chfpedal edema effusion ...so treatment wd diuretics but also note the electrolyte balance nd nebuliser 4 hourly wd iv line antibiotics wd tapered steroids dose nd investigate ecg nd echo ..and avoid water intake only in limit..

There must be some bony deformity like kyphoscoliosis with cardiomegaly require 2d echo to rule out whether it is due to cor p or lv failure also do spirometry

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