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.

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? PE .. NEED'S.. * PREVENT VENOUS STASIS.. * MONITOR THROMBOLYTIC THERAPY.. * MANAGE OXYGEN THERAPY.. * RELIVE ANXIETY.. * REGULAR MEDICATIONS AND.. FOLLOW UP WITH EXPERTS OPINION..

Tnx Dr Ashok Leel sir
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Pulmonary embolism Needs further investigation and evaluation to conclude. Regular monitoring and constant evaluation required. ICU under expert observation.

Thanks Dr Kute Ankush
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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

D-Dimer?
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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.

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