Acute Dyspnea and Tachycardia

Chief Complaint A 67-year-old female presents with the complaint of acute dyspnea and tachycardia. History Patient has h/o atrial fibrillation Vitals BP: 145/95 mmhg, HR: 110 bpm, Rest rate: 21 breaths per minute, Temp: 98.8 degree C. Diagnosis Interpret the x-ray. Treatment What should be the management plan?

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Emphysematous chest causing flattening of both domes of diaphragm Both lung field shows radiodense semicircular shadows suggestive of artefact caused by breast tissue on both sides Cause of breathlessness could be exacerbation of COPD or heart failure

CXR..STUDY.. PULMONARY BULLAE.. WITH.. AF .. NEED'S.. CTCE STUDY.. ECG..2D ECHO STUDY.. EXPERTS OPINION..

Tnx Dr Vipin Bihari Jain sir
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Gew emphysematus bullae seen in the bases. Adv CECT thorax. For AF Needs further evaluation including Echo CD CAG Ep study. TFT electrolytes Etc

Emphysematous bullae in xray chest CECT Thorax to be advised. ECG as she had Atrial fibrillation

Thanks Dr. Kute Ankush , Dr. Sandeep Ghodeker
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Acute dyspnea and tachycardia Draksaristha and kumaryasava with avipattikar churna prawal panchamrita mukta ukta 250 mg with gulkand bd draksha 25 pieace green blood 20 ml daily increase hb immediatly. thyroksin ke dose kam kare nagarjun abhra rasa 250 mg bd

copd with emphysematous changes nebulisers corticosteroids deep breathing exercises PFT

Normal

Emphysematous bullae seen Adv: HRCT chest For AR go for ECHO

Kerley B line. Put her no Beta Blocker and warferin.

Pulmonary Fibrosis, early stage is noticed. Probably, Amiadarone induced. Also seen, emphysematous bullae in the lower right zone.

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