HELLO DEAR FRIENDS AND FELLOW CUROFIANS,, HERE IS AN INTERE CASE --34 YR OLD MALE HAS CAME TO ME WITH COMPLAINTS OF UNEASINESS,, LEFT HAND AND SHOULDER PAIN,, DOE,, PROSTRATION,, LOSS OF SLEEP SINCE FEW DAYS,, F/H/O--MOTHER IS DIABETIC AND HYPOTHYROID,, FATHER HAS IHD ON RX.. NO ANY ADDICTION,,, H/O--ALLERGIC SINUSITIS/RHINITIS ON AND OFF RX,,, O/E--AFEBRILE,, B. P-140/90 MM OF HG,, HR-64/MIN,,CHEST --B/L CLEAR,, SPO2-95PERCENT,,, ANXIETY ABOUT HEALTH ++,,,KEEPING IN MIND ALL THESE I ADVISED HIM TO GO FR INVESTIGATIONS,, SO FRNDS BELOW R THE REPORTS ATTACHED,, PLZZ LOOK CAREFULLY AND GIVE UR VALUABLE AND EXPERT COMMENTS

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All reports look near normal....Lipid profile is slightly abnormal ....only regular excercise for 30 mins per day will help him out for his symptoms...

Patient height and weight ? Calculate his BMI Investigations are showing dyslipedaemia so put him on Tab Rosuvastatin 10 mg 1 HS Fat restricted diet .Regular excercise plan As per newer guidelines his blood pressure has to be taken into consideration and start Tab Olmesartan 20 mg 1 OD You need to address his anxiety by giving Reassurance and anxiolytics As his family history is positive for diabetes &Coronary artery disease counsel him to adhere to treatment strictly and regular follo up Thanks

In this era, you need to do troponins. Refer to cardiologist and he may advise stress test and ECHO. Though the case looks simple it may turn into worst?

Abnormal Lipid profile Reassurance

review cardiovascular risk status annually by assessment of cardiovascular risk factors this assessment should include consideration of features of the metabolic syndrome and waist circumference, and change in personal or family cardiovascular history

Dyslipidemia is present. ECG seems normal. Lifestyle changes, reassurance and Antacid are good initially. Reevaluate serum lipids after 1.5 to 2 months.

If the symptoms are of acute onset , get 2D Echo done ,as ECG is occasionally normal with the underlying acute CAD

@Dr. Sepuri Krishna Mohan sir

ECG. Normal. Blood Reports :- Mild hypocalcemia. Mild dislipidimia. Otherwise all are normal. Pt.may have anxiety only

Please exclude DM& Any cardiac disease

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