78 female breathing difficulty restless known htn on examination lungs wheeze na + 121 bp stable renal profile normal ecg wnl
Cardiomegaly Rt atrial enlargement .Pulmonary conus is prominent. Lt border of heart is straight s/o mitral valve pathology. Rt side fibrosis of lung . There is loss of volume of both lungs. The lungs have got honeycomb appearance s/o chronic lung disease ie may be interstitial lung disease. It is cor pulmonale? Do echocardiography . Treat with nebulization of bronco dilatory drugs Iv lasix . Correct hyponatremia by oral NACL.
The CXR shows cardiomegaly with deviation of trachea to the right suggestive of fibrosis in right upper lobe.The lung fields show honeycombing pattern which is either due to interstitial lung disease or fluid in the septal spaces suggestive of early LVF.The wheeze can be due to COPD or early LVF what used to be known as cardiac asthma.Treat with nebulised bronchodilators and IV frusemide.Hyponatremia should be corrected slowly by oral NaCl.
cor pulmonale. exclude long standing history of copd. large cardio megaly present. loss of volume of bilateral lungs.
Cardiomegaly with pulmonary koch's, advised AKT and cardiac profile.
Rt upper lobe para tracheal mass,tracheal shifting,with hyponatremia(paraneoplastic syndrome SIADH).may be lymphoma / malignancy.CT chest to exclude.
lvh
Dilated cardiomyopathy
lvh
cor puimonale
Cases that would interest you
- Login to View the image
A 60 yr old male who is a chronic smoker presented with Breathlessness, pedal edema , poor oral intake and personality changes since 5 days....vitals at presentation were BP-160/100 PR-106/min, spO2-85%, Rbs- 88....No h/o any comorbidity..comment on the approach to this patient...
Dr. Hardik Ahuja7 Likes30 Answers - Login to View the image
45y M patient non smoker diagnosed as chronic bronchial asthma on moderate to high doses of ICS/LABA combination.. Patient is not satisfied with the symptomatic control.. What can be done to provide him adequate symptomatic relief ?
Dr. K N Poddar6 Likes10 Answers - Login to View the image
14 yr old boy came with complaints of cough with expectoration since 1 month,more on the night. No h/o of fever,breathlessness,chest pain,gi complaints. He is conscious and alert. O/E bilateral ronchi heard over infraclavicular,mammary,inframammary areas.Suggest management please...!!
Dr. Jithin Prakash2 Likes18 Answers - Login to View the image
Please Interpret the Xray & comment on the diagnosis.
Sharmila Sahoo2 Likes17 Answers - Login to View the image
c/o dry cough on n off wich relieves on medication since 2 yrs.sputum AFB negative.dx n D/Ds
Dr. Kratika Sharma1 Like26 Answers
2 Likes