65yrs old female patient comes with loose stools and vomiting since 2days.. urge to water.. Tachycardia-200bpm BP- 110-90mm/HG On ivestigation- Platlet count -initialy at the time of admission- platelet count-86000 after 6hours platlet count is 109000, Blood urea-70mg/dl, RBS-185mg/dl Puffiness over face H/O NIDDM from 2yrs Plz suggest me the diagnose and treatment

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Sinus tachycardia, regular, 162 bpm, Axis LAD, RWP poor, ST elevation in V1 to V4, and L2, L3, aVF, aVR. ST depression in V5, V6, L1 and aVL. Ac Anteroinferior wall STEMI. Do Trop-T and 2D Echocardiography. Treat as ACS with thrombolysis by tPA. Then send the patient for urgent CAG and ANGIOPLASTY /CABG.

Sir.. patient patient is suffering from thrombocytopenia.. how to thrombolys..
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Broad complex tachycardia, differentials are Svt with aberrancy VT 1st and 2nd step of brugada algorithm is not fulfilled 3rd step of av dissociation is present favouring VT Cardiovert Repeat ECG Probably case of MI

Svt with lad lbbb blood urea raised may be due to dehydration thrombocytopenia do lft rft lipid profile usg kub akd thyroid profile do 2 decho tropi & t

This pt. Is having broad complex tachycardia with left axis deviation with lbbb. As per the clinical presentation, the etiology can be acute MI which often presents as acute gastroenteritis. Get echo, cardiac markers done. Give amiodarone if vitals are stable and pt. Is conscious. Get rft, lft done. Rule out associated ischaemic hepatitis and Aki. Load with stating 80 mg stat followed by 40 mg. Give low dose aspirin 75 mg since dual antiplatelets in loading dosages can't be given. Angiography if rfts stable and rule out cad.

VT, hemodynamically stable so inj.ameodarone can give.after reverting look for MI ,send cardiac markers ,should rule out electrolyte imbalance send s.electrolytes and s.creatinine

LBBB type of V tach Electrolytes, dengue and typhoid and thyroid to check out

Sir.. thypoid is negative..
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Ventricular Tachycardia with pulse DC cardioversion

impending renal failue study creatinine levels if rising haemodialysis primary mangement can also try lasi 10 mgs test for kidney response ! if there is good response the fluid correction urinary output hourly check !! if this management is satisfactory no need for dialysis

1 Heart rate > 150/Mr 2 LAD 3 PWAVE NOT VISSIBLE 4 BROAD QRS 5 TALL T HYPERKALAEMIA

Ventricular Tachycardia.Cardioversion. Life line.O2 ,Run relavant investigations,including Cardiac enzymes. Further treatment on response.

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