HYPERTSION & CAD CRF
45 year male c/o chest pain at 2 am vomiting in morning ... Hypertension since 4 year not on regular treatment, bp 150/100mmhg P= 92/min, refer and admitted in icu Diagnosis and treatment sir of this case???
Diagnosis : HTN with IHD ? MI with ARF Adv: cardiac marker Troponin I Cpk mb, HBA1C, TSH, LiPid study T/t in ICU Thrombolysed pateint Angiography Rest t/t is fine Add diuretics
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please interpret ecg 70 yes f h/o chest pain, perspiration+, nausea and vomiting, restlessness 2 hrs back h/o HTN, CVA no dm on telmisartan hydrochlorothiazide bp 200/92 pr 90/mt cvs,chest NAD CNS conscious, oriented
Dr. Satish Kumar0 Like15 Answers - Login to View the image
A 65-year old man presents to ED at 1am with 90 minutes of central chest pressure that awoke him from sleep. He says he thinks he has ‘indigestion’. The pain is non-radiating, with mild shortness of breath but no nausea, vomiting or diaphoresis. He is an ex-smoker with a 20 pack-year history. There is no previous history of IHD, diabetes, hypertension or high cholesterol. On arrival he looks well, with normal heart rate (54 bpm), blood pressure (127/86) and oxygen saturations (98% on room air). His pain has improved slightly with sublingual nitrates in the ambulance, although he still has some ongoing chest discomfort. Can you describe the ECG? What is the significance of these ECG findings? How would you manage this patient?
Dr. Neeraj Mangla1 Like26 Answers - Login to View the image
pt was a female aged 45 yrs came with co of severe headache and left sided chest pain on and off since 10 days no ho vomiting BP 130/80 mmhg pulse 63/min Afebrile systems normal Not a DM or HTN interpret ECG findings
Dr. Mallikarjuna Raju1 Like16 Answers - Login to View the image
A 55 year old men C/0 spinning sensation with perspiration since 3 days H/O-chest pain with vomiting 3 day ago RBS-182., BP-130/100, ECG-see below was treated with antiemetic, antacid, and tab stemetil but still vertigo is present and recurrent chest pain what can be the cause of vertigo and what treatment is needed No H/O-DM or HTN
Dr. Jasmin F3 Likes18 Answers - Login to View the image
A 45 yr old female presented to emergency dept with c/o uneasiness over chest, chest pain, anxiety and palpitations since last 1 hr. There is no h/o any pain radiation, vomiting , headache or heart burn. BP was 124/84 and PR was 101. Suggest DD and Mx.
Dr. Mukesh Kumar0 Like14 Answers