Concluded Case

Alcohol induced acute gastritis RBBB IN ECG P / H ACUTE PANCREATITIS

55 m ch tobacco smoker alcoholic isolated systolic hypertension past illness = acute pancreatitis 3 times admitted post cholecystectomy status family history = younger sister IHD MI PTCA mother diabetic since sometime pain upper and & lower resternal region food increases pain o/ e BP 156 / 89 XANTHELESMA + EPIGASTRIC TENDERNESS + MUSCLE GUARD = 0 HEART CLINICALLY NORMAL LUNGS OCCASIONAL RHONCHI ECG = RBBB RAD LEFT POSTERIOR HEMIBLOCK TROP I = NEGATIVE BLOOD CBC AMYLASE LIPASE Ca++ YET TO GET REPORT POSSIBLE DIAGNOSIS THIS TIME SEEMS TO BE ACUTE GASTRITIS & REFLUX OESOPHAGITIS ETHNAL INDUCED BIFASCICULAR BLOCK RX SUCRALFATE 2 TSF TD AC TO STOP.ALCOHOL DRINKS & TOBACCO SMOKING PL GIVE YOUR VALUABLE OPINION PL GIVE YOUR

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Concluded answer
ECG - Sinus rhythm,RAD, RVH, RBBB. Pain and tenderness at epigastric area may be alcohol induced oesophagitis, gastritis, APD,skeltomuscular pain. May add CXR PA view, USG whole abd, endoscopy.
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ECG - Sinus rhythm,RAD, RVH, RBBB. Pain and tenderness at epigastric area may be alcohol induced oesophagitis, gastritis, APD,skeltomuscular pain. May add CXR PA view, USG whole abd, endoscopy.
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Ecg show RBBB Now there r non Cardiac cause to for high Troponin So best way is to do Serial ecg /enzyme to see for evolution
PL ADD LIPID PROFILE & BLOOD SUGAR REPORTED NORMAL
Add chlordiazepoxide with clidiniumbromide
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