Mc Ginn White sign

sudden onset of breathless ness in a45 yrs old male patient, Known case of diabetes on irregular treatment diagnosis?

A 37-year-old male presented to the ED with two days of chest pain . constant, rated at a level of 3 (on a scale of 0 to 10), and slightly worsening on deep inspiration. He described increased shortness of breath with exertion and a cough productive of clear sputum but denied fevers, chills, nausea, lightheadedness or sweating. The patient was a pale, obese male who appeared in no acute discomfort .temp - 97.5◦F ,1 Rr18 beats/minute BP 102/72 mmHg RR 18 Spo2 -96% CVS s1s2+ Rs : Rales at the lung bases bilaterally P/a Soft, nontender, nondistended. CNS Nonfocal. TLC 18 K/μL with 90% neutrophils, hematocrit - 31% creatinine - 1.5 mg/dL positive D-dimer. troponin I - normal

A patient of 50 years male having lots of perspiration and sometimes having breathless when walking rapidly. Otherwise he is normal and slightly overwt. His BP is normal and he is non diabetic.Below is his ECG. Diagnosis?

A 39 yrs old man felt unwell overnight with swelling and pain in his scrotum and penis. In the morning he felt BREATHLESS and had blood-stained fluid oozing from his penis. He called 108 & ambulance took him to casualty. The patient neglected fever,pain n redness of scrotum which was since 5 days, he had not visited hospital earlier because he was frightened & because he was sole guardian of his teenage son, who had to come with him. The patient had NO significant Medical or Sexual history, Not on any regular medications or No allergies, &his last sexual contact was over two years ago. Not K/c/o HTN Or DM ON GP EXAMINATION , RR = 39 Cycles/minute BP = 120/75mmhg, Oxygen saturations of 97% temperature = 98.7°F ABG showed a marked compensated alkalosis with a lactate 3.9mmol/l. Venous blood results showed a CRP of 535 mg/l, urea of 11 mmol/l &creatinine 200 µmol/l. **ECG shows SINUS TACHYCARDIA with Rate of 140bpm blood is sent for culture and all possible investigations. WHAT WOULD BE THE PROBABLE Diagnosis and management of this condition ???

45 yrs old male pt has admitted with the complaints of giddiness followed by LOC for 20 mnt then recovered. . No h / o chest pain. . breathlessness. . or profuse sweating. . Pt conscious Pulse feeble BP. 90/60 mmhg. . Spo2 ..92 %..room air. 1.. clinical diagnosis? 2 . ECG FINDINGS? 3 . treatment? just now pt admitted. .I'll update further progress. . Plz share your views. .