Heart attack??

Shuchi: Sir please kindly have a look at it and tell is it PVMI Thick white sputum since 6months measuring a small spoon Dyspnea on exertion since last 2 months Wt loss is there but not documented No evening rise of temp. No hemoptysis complaint On medication for diabetes and prostate hyperplasia Taking gliptins and metformin and glimeperide Sildosin and dutasteride Sir patient has poorly controlled diabetes Bp monitoring hasn't been done Kindly tell if it was a mi?? Urgent

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NO EVIDENCE OF M I IN ECG ECG = LVH ( STRAIN PATTERN) PT HAS UNCONTROLLED D M H/ O COUGH SOB EVENING RISE OF TEMP WT LOSS D = UNCONTROLLED DM POSSIBLY PTB BP NOT RECORDED LVH IN ECG RECOMMANDATIONS 1 SPTUM AFB CBNATT C & S 2 CXR 3 ECHOCARDIUM RX 1 GLYCEMIC CONTROL RECENT BLOOD SUGAR A SHORT ACTING INSULIN BD - QD I/ 2 HR BEFORE FOOD MAY BE ADDED SOS 2 RECORD BP CONTROL BP IF FOUND HIGH 3 ATT IF CXR & SPTUM EXAM SUGGESTIVE OF PTB 4 ECHOCARDIUM TO JUSTIFYCARDIOMEGALY SEEN IN ECG
Thank you doctor
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Sinus rhythm , T wave inversion in lead1, AVL and v3to v6 suggestive of anteriorolateral Wall ischemia, Low voltage tracing in limb leads. Needs further investigation CBC, CXR PA view, Bs-f pp, LFT kft, ECHO, HBA1c, sputum for AFB, culture.
Thanks a lot sir for your time
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Possible anterolateral wall ischemia . Predominantly respiratory complaints Suggest Xray chest, ECHO , CTM , lipids, RFT If there is suggestion of CAD, angio can be suggested
Thanks a lot sir for your time and efforts
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St-t changes in L1 avl and V4V5V6 Sinus rythm Seems to be evolving inferior wall ischimia keep on monitoring symptoms suggest chest pathology Needs xray chest
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It is not MI yet. There is a sign of mycardial ischemial on lead avl, v5 v6 v4. Lateral Ischemiac disease. Or it can be early sign myocardial infarction
Thank you doctor
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Ischaemia heart disease. Cardiologist opinion. CXR PA view. Sputum for AFB for 2 days under DOTS.
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Ischaemia
Thanks doctor
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