what should be mx?? is it due to atherosclerosis of aortailliac artry?
A 67 yr male patient comes to me with severe abdominal pain since 4-5 months, he visited many physician even well known Gastrologist too. Here I attached investigation I'm not putting blood urine bcoz they are normal only ESR is 27 elsewhere normal. Please help me to rule out the case...
there is no comment on mesenteric arteries. review ct to rule out mesenteric ischemia
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76yr/M, kn HTN, DM, Hypothyroidism on Rx, Previously operated uneventfully- Ing hernia, TURP, and TKR At present admitted with h/o fever, dyspnea X 2day increasing. Conscious,T- 99.8, HR 96/min, BP 190/80, RR 30/min, SpO2- 84% on air. RBS 160. Rx: observation & continuousmonitoring. RBS, intake/ output, chart. Rx : Oxygen, Nebulisation, dytor, paracetamol, Pantocid, emset, antibiotics - zostum, clindamycine nabicard, cardivas, eltroxin . Labtest : CBC 12/ 12100 / 204000. Clotting & Electrolytes-wnl, sgpt 80 & creatinine 2.6 Trop-I neg, BNP- high. ECG and chest x-ray attached. please do interpretation of the ECG and x-ray and further Rx...
Dr. Chhaya Sheth2 Likes18 Answers - Login to View the image
33 yr old male known case of HTN, CKD stage 3 baseline Creatinine 2.9 has come to ED with severe headache, giddiness associated with 3to 4epidodes of vomitings since 2days, and also complaints of throat pain and dry cough, on arrival vitals BP 220/140 mm of hg, PR 89/min, RR 19/min, spo2 98%in RA, Temp 100 f, pain score 9/10, GRBS 107 mg/dl, CNS, GCS drowsy but arousable obeying commands, GCS 14/15, pupils 3mm Berl, other systemic exam wnl, CT brain uploaded, diagnosis and treatment plz
Dr. Shivaji Mallampati5 Likes24 Answers - Login to View the image
80+ y/o male with a PMH HTN, DM, Colon CA, MI 2018, CKD not on HD, recently admitted for HF with an elevated Cr, pt was placed on inotropes+diuretics+aquaphresis. 2D echo showed apical thrombus, EF 20-25%, mild MR/TR, placed on Eliquis. While having dinner at home, pt had syncopal episodes, collapsed to the floor. Upon arrival pt was bradycardiac and hypotensive, ACLS meds for symptomatic Bradycardia were given. Once in ER k was elevated, no response to treatment, Sp02 dropping, emergent intubation required. The patient coded while in ER, SB->PEA, ROSC 5 min. CT head neg, initial CXR neg, ECG no signs of active ischemia ( don’t have ECG ). What is your opinion for ECG?
Dr. Harshita Jain1 Like16 Answers - Login to View the image
86 y female Breathlessness since last two days insidious in onset present even at rest . No h/o Orthopnea K/C/O HTn x 2 years K/C/O CKD / IHD since two years O/E Temp - 98.4f Pulse - 74 Resp - 22 BP - 140/80 Pallor present B/l pedal Edema present No lymphadenopathy Discuss further management ??
Dr. Neeraj Mangla7 Likes10 Answers - Login to View the image
12 yr boy c/c unable to walk proberly o/e-b/l genu valgum h/o -late milestone investigation - routine investigation N se.urea 55 se .creatn 2.4 ALP -1197 Se calcium-0.9 se vit D3-6.4 PTH -472 Phosphates was normal dx and t/t
Khemeswar Agasti3 Likes10 Answers
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