A female with ghabrahat

A female aged 43 years who is a k/c/o Morbid Obesity with OSA Chief Complaints Excessive Sleepiness Ghabrahat Intermittent Sweating Vitals BP - 180/110 mmHg

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It's a normal ECG RR interval is changing, it's because of Sinus arrhythmia which is normal physiological variation. RR interval changes during inspiration and expiration. The characteristic of sinus arrhythmia is PR interval is always constant in all QRS complexes Isolated T wave inversion in lead III is insignificant Adv Serial ECG monitoring Gradual lowering of blood pressure with antihypertensive Check thyroid function test

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WNL

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Rx Abhyadi qwath Bd Galo ghan tab 1bd Panch sakar powder HS for 2 weeks, then, Dashmool qwath BD Galo ghan tab 1bd for 2 weeks,

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