Diabetes/Dyslipidemia

46 year Male Known case of Diabetes and Dyslipidemia One year history of Generalised weakness Myalgia Neuralgia both upper and lower limbs Loss of appetite Loss of weight Please Opine regarding ECG and Chest xray Xray taken in mid inspiration

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ECG and chest X Ray shows normal finding Adv Complete blood count - look for Anemia Stool for occult blood - look for blood loss Esoz D 40 mg once daily - proton pump inhibitor with GI motility agent combination

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Findings look normal Due to uncontrolled DM patients feels like this Kindly check blood glucose levels Can goto hyperosmolar coma if uncontrolled Check for Anemia and vit d levels , calcium levels too, look out for CKD

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ECG WNL X-ray NAD DM is probably not under control ,loss of wt and weakness may be due to uncontrolled diabetes ,so neuralgia.Loss of appetite may be due to use of metformin.

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Subacute elevation of st segment in anterior chest leads ie v2v3v4 Suggestive anteroseptal or subendocardial ischimia to be workout Xray chest is NAD

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Pt ECG is normal X _ray shows lower rt rin # Rt side paracardial haziness. Hb1ac? CBC S creatinin S vitb12 All should b investigated

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All wnl

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Ecg, xray probably normal Kindly give sugar reading & hba1c History of any addiction or not.? Vit b12, d3, protein level, esr, Will help for further diagnosis

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All r WNL

REFER CARDIOLOGIST FOR BETTER DIAGNOSIS.

Thank you doctor
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