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Female patient at 50s presented with fever 39 c , cough , wheezy chest ,dyspnea
Dr. Priyank Jha33 Likes233 Answers - Login to View the image
Pulmonary Hypertension with BVF. *Chief Complaints* A 46 yr old female attended Mopd with progressive SOB and productive cough since 1 month with pedal edema since 10 days. No associated fever,chest pain,palpitation,Hemoptysis,Diaphoresis,pain abdomen etc. She is K/C/O Hypothyroidism and Br Asthma. No H/O HTN,DM,Substance abuse. Normal Menstrual Cycle. General Examination normal except B/l pedal edema and prominent Neck veins. Systemic Examination- B/l Infrascapular fine crepts with occasional Ronchi. Routine Ix was advised. Pt attended Mopd with reports showing- CXR - increased CT ratio suggestive of Cardiomegaly with b/l lower zone opacity. Sputum C/S normal flora. Rest blood Ix normal. ECG - multiple VPCs. 2D ECHO- 1. LV function is mildly depressed with estimated LVEF of 45%. 2. IVS and apex are mildly hypokinetic. 3. Right Atrium & Left Atrium are dilated. 4. Right Ventricle is dilated. 5. Moderate Tricuspid Regurgitation. 6. Severe pulmonary hypertension with calculated RVSP of 65mmHg +RAP. 7. Mild Mitral Regurgitation, 8. Trivial Aortic Regurgitation. 9. No LA/LV clot or pericardial effusion. NT Pro BNP not done. Pt started on conservative treatment.
Dr. Ashutosh Chandan Dubey44 Likes115 Answers - Login to View the image
pt. 38.f c/o Dyspnea on exertion, cough with sputum, fatigue plz comments..
Dr. K. Akash2 Likes41 Answers - Login to View the image
90M K/c/o COPD, HTN, Old CVA presented with breathlessness, productive cough since 4days. H/o fever+. COMMENT ON CXR
Dr. Ravikanth Moka4 Likes47 Answers - Login to View the image
Kindly comment on the chest xray finding? Patient 70 year old male has been compalining of cough with expectorant along with dyspnea on exertion
Dr. Ajeet Pal Singh3 Likes17 Answers