Concluded Case

a case of tachycardia

A 46 year old female presented with c/o of 1. Left sidedchest pain ,vague 1 day . 2. Breathlessness in exertion 1 day. 3. Loss of 7 kgs over 3 months . 4.Night sweats ,palpitation, suicidal ideation. 3 months. O/E Thin built, no thyroid swelling, PICCL normal . S/E Normal Vitals Bp-140/60mmhg Pr-120 Spo2-98% H/o of cough 3 months back , CT chest normal on 10th days since symptom onset. Thyroid report normal.

(Edited)

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Concluded answer

Electrical axis is within normal limits Chest x -ray B/L NAD Check out electrolytes Thyroid profile Conservative management should be PPI Ramcor Liofen Zolam Others accordingly

All Answers

ECG is WNL All reports are unremarkable Complaints seems to be subjective Pt is a c/o depression having sucidal thoughts Night sweats and restlessness all these indicate pt is in depression and needs assistance from psychiatrist

Thanx dr Kute Ankush
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Electrical axis is within normal limits Chest x -ray B/L NAD Check out electrolytes Thyroid profile Conservative management should be PPI Ramcor Liofen Zolam Others accordingly

Thank you doctor
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Report of thyroid profile ?Anxiety neurosis Symptomatic treatment

Thank you doctor
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NEED'S .. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION .. REPEAT .. HEMOGRAM .. HORMONAL STUDY..

Tnx Dr Vipin Bihari Jain sir
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Pl rule out hypothyroidism

Valuable opinion
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Hypothyroidism/Hormonal changes /Menopausal. Tab Evalon,femilon tab. Asthmatic, Cardiac profile. Sarpghandha ghan vati,tab mentaid helpful for anxiety.. Symptomatic T/T..

Need Psychiatrist

Investigations are normal Needs symptomatic T/t

Need harmonal study and other routine check up. It is a form of anxiety. Paroxitine 12.5cr od with etizolam 0.25 bd will help

Thank you doctor
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