62 year female was admit in govt hospital 8 days back with diagnosis of dvt rt leg and thrombus in ivc. Pt came to with c/o dyspnea, cough from three days and blood in sputum from one day. On examination bp was 140/90, b/l crepts, clubbing was present. Pt was o2 dependent and spo2 was 70 %, with o2 it was 94%. Investigations are as below Expert opinions are welcomed Update 1 : 2DECHO -severe pulmonary artery hypertension -Dialeted RA RV -thrombus in IVC -LVEF 55%

elderly lady,chulha worker,presented with chronic cough and dyspnea,which is increased since a month.non dm,no major illness in the past.sr creat 1.2,sputum AFB negative.RV neg. o/e bil wheezing with reduced breath sounds. HR 110/min,spo2 44%,no cyanosis clubbing. BP 110/60 mmHg.with 1/2 lit oxygen,spo2 remains 96%. plz suggest further management.

65 year old patient, hypertensive and diabetic came with prgoressive breathlessness for the last 2 weeks. X-ray chest is shown below. Dx and mx

42 yrs old male pt admitted with complaints of breathlessness and anasarca. .. 1. ecg findings? 2. differential diagnosis?

Dyspnea It is normal with all of us when we exert excessively.. But Dyspnea that is greater than expected with the degree of exertion... is a symptom of disease. Most cases of dyspnea result from asthma, heart failure and myocardial ischemia, chronic obstructive pulmonary disease, interstitial lung disease, pneumonia, or psychogenic disorders.. Below mentioned are the pathological causes of Dyspnea by Organ System…. CARDIO-VASCULAR…     Pulmonary edema Acute valvular disease Myocardial infarction Cardiac tamponade    Heart failure Angina Constrictive pericarditis RESPIRATORY… Acute exacerbations or persistent chronic asthma Acute exacerbation or persistent chronic obstructive lung disease Pulmonary embolism Pneumothorax Pneumonia ARDS Anaphylaxis    COPD Asthma Interstitial lung diseases Pulmonary hypertension Malignancy (tumor related obstructive lesions and lymphangitic spread) Pleural effusions Sleep apnea Foreign body aspiration GASTROINTESTINAL/HEPATIC Acute liver failure and its consequences Abdominal distention of various causes Ascites Portopulmonary hypertension Hepatopulmonary syndrome RENAL CAUSE Acute or chronic renal failure and its consequences HEMATOLOGICAL… Hemorrhage    Anemia NEUROMUSCULAR     High cervical cord lesions Trauma to phrenic nerves    Central apneas Myasthenia gravis Myopathies Amyotrophic lateral sclerosis ENT cause Vocal Cord Dysfunction Laryngeo-tracheal obstruction PSYCHOGENIC  BREATHLESSNESS I hope this list of causes will be HELPFUL to diagnose the aetiology of DYSPNEA…