Cough & hemoptysis
Chief Complaint A 28-year-old pregnant female presented with cough, throat soreness & difficulty in breathing for 1 week which also leads to hoarseness of voice & hemoptysis. History She is nonsmoker and nonalcoholic. She has not on any regular medication except for diabetes. Vitals Her vitals are wnl. Investigations Hb: 8.2, WBC: 9,300/mm3, hematocrit 24%, platelets 330,500/mm3. Creatinine of 0.9 mg/dL ABG: pH 7.45, PaCO2 29 mmhg, PaO2 80 mmhg. Radiology shows pulmonary embolism. Treatment Advise on the case.
? PE .. NEED'S.. * PREVENT VENOUS STASIS.. * MONITOR THROMBOLYTIC THERAPY.. * MANAGE OXYGEN THERAPY.. * RELIVE ANXIETY.. * REGULAR MEDICATIONS AND.. FOLLOW UP WITH EXPERTS OPINION..
Pulmonary embolism Needs further investigation and evaluation to conclude. Regular monitoring and constant evaluation required. ICU under expert observation.
Start LMWH . Evaluate for etiological factors for PAE. Coagulation profile Protein c, s ANA DSDNA APLA
Pul embolism Present era and history suggest Covid 19 known for this Rull out DIC as patient pregnant
recurrent pulmonary embolism with high cogulation factor 1.arogyavardini vati 2.kanchnar guggul
Anti coagulation
Patient should be key monitoring In ICU set up Need complete evaluation And further management as per the expert opinion Ref to higher centre were facilities are found
Hi... sir.... Now first we have to rule out covid 19 .... Bcos I have seen similar case bt she was not pregnant.... 35yr old lady.... Housewife.... She was covid 19 positive..... It could be Alveolar hemorrhage
Use broadspectrum antibiotics And iron supplement maintenance O2
This case is purely reffered to gynaecologist, as the patient is pregnant not shown the month of pregnancy secondly her Hb is less.
Cases that would interest you
- Login to View the image
Pt h/o hemorrhagic Stroke(thalamus) 3wk back, c/o chest pain with bp 70/shock. Diagnosis and management.
Dr. Debashis Maikap2 Likes30 Answers - Login to View the image
A 25 yr old pregnant women with 16 weeks of gestation came with bleeding p/v since 3days..no pain abdomen.. no h/0 vomitting and no fever....associated with bleeding gums while brushing...h/0 intercourse 4days back,...all blood investigation and scan is normal in relation to implantation... foetal heart ...possible diagnosis and management
Dr. Kartheek Ganapathri9 Likes44 Answers - Login to View the image
【Typical case of Anaplasmosis】 ●Watery blood ●Anemic mucus membrane ●Owner called for visit on 4th day of sickness, so here Temprature down to 100f ●Animal so much weak and deficate hard feces ●Blood smear also taken for confirmative diagnosis ●blood smear result was positive of Severe Anaplasmosis
Dr. Ketan Joshi14 Likes22 Answers - Login to View the image
30yr primi lscs done in govt hospital ,after 5 hrs no urine output ,ARF ,all needfull done ,but useless no response Bp120/50,p100,rr16/min,oxygen saturation 89-90,forcefull breating Pls advice needfull
Dr. Asha Trivedi1 Like21 Answers - Login to View the image
24yrs old with primary infertility 3yrs with pcod conceived after induction of ovulation in the 2nd month.LMP--18/9/16.Came c/o spotting p/v on 25/10/16.UPT was positive. Progesterone support , Folicacid given nd adv rest nd abstinence.Adv to come after 2wks for fetal viability scan.But she came late c/o pain lower abdomen, no spotting. Scan is showing subchorionic bleed.Wt-40kgs.Taking min dose of Eltroxin 12.5mcgms.Now TSH is normal. Discuss about the management.
Dr. Mustafa Ameena Parveen8 Likes19 Answers
2 Likes