Ivabradine

Female pt came with Co. Genralise edma onbody and on both feet since 1 month, history of cough since 15 dys xry done shows Cardiomegaly , lft done total bil. 2,direct 0.5,sgpt 48,sgot48, bslruten 140, urea 0.8,creatinine 25, ecg done. So please diagnose ecg.. Now. Pt is normal and comfortable.. Please coment on Ecg changes.. Thanks..

75year old Male Ex smoker and Ex alcoholic c/o DOE *2months, loss of appetite, weakness sleepiness and palpitations o/e B. P 110/70,PR 115-120/min,SPo2-95% without O2 Chest B/L decreased air entry lower zones no Rohnchi P/A Soft and Non Tender Echo ECG Chest X-ray attached CBC TLC 16400,ESR 66 RFT normal Lft Normal pleural fluid send to lab for examination suggest diagnose and treatment

A case of APH with haemorrhagic shock presents with difficulty in breathing and falling Spo2 at the end of LSCS . Photos shows monitoring , X-ray and Venti parameters .

A 60 yr old male who is a chronic smoker presented with Breathlessness, pedal edema , poor oral intake and personality changes since 5 days....vitals at presentation were BP-160/100 PR-106/min, spO2-85%, Rbs- 88....No h/o any comorbidity..comment on the approach to this patient...

55 yrs old hindu male patient working as a security guard started feeling breathless at rest while on duty in afternoon. Known case of DM with HTN with no h/o Ischaemic Heart Disease. No h/o Fever or Cough. O/E - BP - 90/40 mm of Hg, Pulse - 150+ bpm SpO2 - 94 % on room Air Chest - bilat Crepts + Hb - 12.5 TLC - 23000/cumm Plt - 2.76L/cumm Sr. Creat - 1.6 Electrolytes - WNL