Sudden onset Breathlessness

95 year old male with no known medical illness in past complained of sudden onset Breathlessness since 1 day. There is no history of Fever, cogh, chest pain, diaphoresis, Dizziness. Pt gives history of Constipation. He is Non smoker, non alcohlic. O/E he is afebrile, with pulse rate of 96/min, BP 140/76 RR 30/min. SPO2 60% at room air. JVP raised Pallor + Peripheral Cyanosis + B/L mod pitting oedema + No icterus, No Clubbing No Lymphadenopathy. Chest. B/L fine crepts + with B/L decreased Air Entry. Pt was kept in propped up position O2 Inhalation was started immediately @ 5L/min. Inj Lasix 40mg give i.v stat. O2 saturation maintained at 90 %. Blood sugar random with glucometer is 180mg/dl X Ray chest, ECG & baseline investigation advised & report attached. Kindly give your valuable inputs regarding Dx and management

LikeAnswersShare
Rt paracardiac consolidation opacity with hazy rt basal area Eventration of lt dome of diaphragm Ecg sinus tachycardia Findings suggest collapse consolidation rt lower zone Pt is aged and have mild hyperglycemia Hypoxic needs intubation Broadspectrum antibiotics Monitoring and managing the vitals
Thank you sir.
0

View 2 other replies

Cardiomegaly/ Aortic aneurysm/ hiatus hernia/ CAP. Left eventration of diaphragm. Slight mediastinal shift towards right. ECG NSR left axis deviation. Adv Echo CD. Sos aortography.
Valuable opinion
0
CXR PA view-Cardiomegaly, mediastinum widening,eventrated left hemidiaphram. ECG-sinus rhythm, LAD, LAFB, LVH.
Valuable opinion
0
Lung abscess Lt lung lower lobe D/DPTB Sequelae, Malignancy rt lung
Thank you doctor
0
Cardiomegaly. Left event ration diaphragm. Left basal collapse
Thank you doctor
0
Ecg shows sinus tachycardia with st segment depression in 1 avl v5v6.x ray chest.shows cardiomeagaly. He is anaemic. Transamibases are raised in lft It looks like IHD with cardiac failure with anemia He is aged pt.u can start low dose beta blocker cardivelol 3.125 mg od. Continue inj lasix.correct his haemoglobin Get his usg abdomen & 2d echo
Thank you doctor
0
Ecg Chest leads r recorded at substandard height LAD LAHB LVH with strain X-ray Cardiomegaly Pericardial effusion?? Echo must
Thank you doctor
0
Plural effusion Emphysema