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Pulmonary Hypertension with BVF. *Chief Complaints* A 46 yr old female attended Mopd with progressive SOB and productive cough since 1 month with pedal edema since 10 days. No associated fever,chest pain,palpitation,Hemoptysis,Diaphoresis,pain abdomen etc. She is K/C/O Hypothyroidism and Br Asthma. No H/O HTN,DM,Substance abuse. Normal Menstrual Cycle. General Examination normal except B/l pedal edema and prominent Neck veins. Systemic Examination- B/l Infrascapular fine crepts with occasional Ronchi. Routine Ix was advised. Pt attended Mopd with reports showing- CXR - increased CT ratio suggestive of Cardiomegaly with b/l lower zone opacity. Sputum C/S normal flora. Rest blood Ix normal. ECG - multiple VPCs. 2D ECHO- 1. LV function is mildly depressed with estimated LVEF of 45%. 2. IVS and apex are mildly hypokinetic. 3. Right Atrium & Left Atrium are dilated. 4. Right Ventricle is dilated. 5. Moderate Tricuspid Regurgitation. 6. Severe pulmonary hypertension with calculated RVSP of 65mmHg +RAP. 7. Mild Mitral Regurgitation, 8. Trivial Aortic Regurgitation. 9. No LA/LV clot or pericardial effusion. NT Pro BNP not done. Pt started on conservative treatment.
Dr. Ashutosh Chandan Dubey44 Likes115 Answers - Login to View the image
80Y male Chronic smoker since childhood stopped 10yrs back. K/c/o HTN, CAD - S/P PCTA to RCA(10yrs back), COPD - Chronic bronchitis with H/O breathlessness since 1year presented with fever since 3days. Patient is on Nitrolong 2.6, Clopivas AP 75. ECG & CXR attached. Kindly discuss..
Dr. Ravikanth Moka19 Likes38 Answers - Login to View the image
pt. age 65 male, present c/o severe breathlessness, fever on and off and cough with yellowish and greenish expectoration since one month. diagnosis & course of treatment?
Dr. Isaac Luyani2 Likes26 Answers - Login to View the image
42 yrs old male pt admitted with complaints of breathlessness and anasarca. .. 1. ecg findings? 2. differential diagnosis?
Dr. Suresh Narayanan4 Likes36 Answers - Login to View the image
46 yrs male pt presented with progressive dyspnea, exertional angina and facial edema since last 8days. known hypertensive and on beta blockers. BP 110/80.mhg spo2 94% sr creat 0.9 BSL 98 Hb 8 wbc 4300 plt 1.9 adv Echo, TFT. and started diuretics plz interpret CXR and ECG.
Dr. Sandeep Ghodekar3 Likes22 Answers