Concluded Case

Ami with adhf copd w cor pulmonale w ???Lung mass w

58 male came to hospital w complaints of left sided chest pain w perspiration n uneasiness w mild doe Cardiac enzymes were positive Rest chemistry n routine were nad S/e CVS S1s2 heard Rs bil lz crepts w rhonchi Cns concious oriented Habit-bidi smoker since 40yr Clubbing + Pa soft Icterus negative Cxr attached.....

(Edited)

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Concluded answer
Rt basal inhomogenous opacities seen. Slightly obliterated rt cp angle. Prominent Pulmonary conus cardiomegaly. Valvular heart disease , Malignancy needs to be considered.
All Answers
CH TOBACCO SMOKER CXR ,= CARDIOMEGALY PULMONSRY ARTERIAL ENLARGEMENT BATWING OPACITY RT SIDE MILD RT PLEURAL EFFUSION SUGGESTIVE CHF ECG CARDIAC TROPONIN NOT POSTED HEART = S1 = NORMAL / SOFT ? S2 = PULMONARY COMPONENT OF S2 ? S3 ? S4? D = I H D ACS ISCHAEMIC DILATED CARDIOMYOPATHY CHF ADV = ECHOCARDIUM BLOOD = PRO BNP
ECG not enclosed ?cXR reveals cardiomegaly & a consolidation rt YOU HAVE NOT MENTIONED FEVER ? Pl also mention which cardiac enzymes CPK-MB ? Troponin ? Summary smoker with chest pain (consolidation can cause pain) no fever suggest CT CHEST to r/0 B.Ca ECG pl
No fever Cpk mb tp i both positive
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Rt basal inhomogenous opacities seen. Slightly obliterated rt cp angle. Prominent Pulmonary conus cardiomegaly. Valvular heart disease , Malignancy needs to be considered.
Thank you doctor
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Chest x-ray showing cardiomegaly,rt midzone hazyness, obliterated rt costophrenic angle ECG- T wave inversion in lead 1,AVL, Low voltage tracing in limb leads, RBBB PATTERN.st depression in lead v4to v6 lateral wall ischeamia. Sr, cardiac enzymes, Echo,
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Xray reveals consolidation rt lower lobe.cardiomegaly.if he has e/o ACS .it could be cardiac failure associated. As he is a chronic smoker element of copd too.so all things have to be taken into consideration and managed accordingly
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ECG SHOWN = SINUS TACHYCARDIA OCCASIONAL VPC LAE STEMI INF WALL & ANTEROLATERAL WALL RBBB RVH WITH STRAIN
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Looks like Rt basal pneumonia with minimum effusion Cardiomegaly, r/o LVF,2D echo, attach ECG with history