Case of the day 60 yrs old white male presented to ED with SOB wok him up from sleep around midnight progressively getting worse

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Cardiomegaly LVH. Rt paracardiac heziness seen Adv Echo CD to rule out CCF. CHB, electrolytes imbalance.
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X Ray chest pa view - showing Cardiomegaly , Rt paracardiac hazyness+. ECG- sinus rhythm, Low voltage,q wave prominent in Inferior leads suggestive of old Inferior Wall m i, poor r progression, T wave inversion in lead 5,6, suggest s lateral wall ischeamia occasionally pvç, . needed ECHO,cardiac enzymes, Lipid profile, LFT,kft
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Xray chest shows massive cardiomegaly Rt paracardiac density suggestive of pneumonitis Ecg suggest CHB with vpc Pt is of white race Symptoms are of acute sudden onset and worsening History suggest myocardiopathy comorbid with pneumonitis ARDS Needs to r/o covid19
Thanx dr Sandeep S
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ECG = LOW VOLTAGE GRAPH STEMI INFERIOR WALL LATERAL WALL ISCHAEMIA VPC + IN RUNS 2 -- 3 INCOMPLETE RBBB ( SEE V4 ) CXR = ARDIOMEGALY L V TYPE UPPER LOBE VEINS PROMINENT KERLEYS B LINES + BATWING OOPACITY SUGGESTIVE C H F .
Cardiomegaly, right paracardiac infiltrates. ECG : Low voltage complexes, Occasional VPCs ,poor R wave progression in chest leads ,old IWMI, lateral wall ischemia Adv echo to r/o - CCf, pericardial effusion, myocarditis
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Lvf. Has tobe evaluated. Cardiac evaluation. Inj lasix 40-80mg iv stat.tab cardivelol dose as per bp reading. O2 inhalation. Pt to be managed in cardiac icu
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Cardiomegaly.R paratracheal haziness.L base hazy.ecg shows poor R progress,old IWMI, lateral wall ischemia,low voltage complexes, vpc's.
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Cardiomegaly with diffuse infiltration in rt.lung, suggestive of pericarditis or Tubercular lung disease
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Cardiomegaly Rt parenchymal infiltration Rt basal heziness CCF cardiac evaluation
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SUGGESTIVE OF CARDIOMEGALY POSSIBLY.. C. H. F PERIMYOCARDITIS
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