Patient with Syncope

Chief Complaint 69 y/o/f, complains of fever & cough with dyspnoea for 4 days. She was taking Paracetamol. Fever relieved with paracetamol but at 4th day she had syncope. Vitals BP: 125/80 mmhg, HR: 82 bpm, Resp rate: 27 bpm, Temp: 98.9 degree F. Investigations Chest x-ray was done which shows bilateral consolidations. ECG shows complete AV block with ventricular escape rhythm and atrial fibrillation. blood gas shows mild hypoxia which point towards pneumonia But Real-time reverse transcriptase–PCR was negative. Diagnosis What next should be done to reach diagnosis? Treatment Advise management also.

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*Pneumonia ( viral or bacterial ) With cardiac complications. Needs further investigation and evaluation to conclude particularly repeat RT -PCR and 2 D ECHO. Regular monitoring and constant evaluation required.

Thanks Dr Kute Ankush
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Pnemonia with CHB.for pneumonia inj piperacillin tazo 4.5 gm iv tds,inj moxiflox 100mk iv OD,inj MPS 500 mg iv TDS,inj lmwh .6 ml sc bd,tb vit c,zinc, multivitamin,syp ascoryl D,tb pcm For symptomatic CHB,best management is Pacemaker. Adv HRCT chest as RTPCR is now not that much reliable as HRCT chest

COVID with cardiac complication Age is 69 Is any past hx of any CVS complication? Syncope treatment is an emergency need. As advised all experts as for pacemaker. COVID protocol treatment should b started at this time.

Pneumonia (possible covid) with CHB. Apart from the management of covid, please consider temporary pacing +anticoagulation. Rule out metabolic and infectious causes of CHB, of which Infective endocarditis is not to be missed, given her clinical presentation.

? PNEUMONITIS.. ? COVID-19.. WITH.. COMPLICATIONS.. NEED'S .. HRCT THORAX.. 2D ECHO STUDY.. MANAGEMENT AS PER .. PROTOCOLS.. FOR..COVID-19..

Tnx Dr Ashok Leel sir
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Adv CRT pacemaker. Treat secondary infection. Diuretics, oral anticoagulation therapy, NIV.

Thrombosis anti coagulation covid consolidation

UNCONCIOUSNESS with mahamratumjay mantra .vishan shahstra nam paath by patient before sleeping is more helpfull

? COVID 19 Adv: HRCT, LDH, CRP, CBC Traet as per COVID PROTOCOL Continuous monitoring of the patient Maintain SpO2 Inj DOXYCYCLINE 100mg with 100 ml NS bd Inj XONE SB bd Inj MVI Keep patient in prone position for 12 hrs Symptomatic treatment

POSSIBLY .C. H. B PNEUMONITIS NEEDS FURTHER. EVALUATION

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