Pregnant female with fever & muscle pain.

Chief Complaint A 27 weeks pregnant 28 year old female complains of fever & generalized muscle pain. She also complaint of decreased appetite for 10 days. History Her history included spontaneous abortion at 5 weeks gestation. No other medical, surgical or family history. Vitals BP: 115/70 mmHg, Heart rate: 105 beats per minute, Respiration rate: 17 breath per minute, Temperature: 101.2 F, Oxygen saturation: 99% on room air. Investigations Her physical exam was reported as normal. Hemoglobin: at 9.9 mg/dL All other blood works and urine tests normal. Diagnosis Can you interpret this ECG! Treatment How should we proceed with the case?

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Right axis deviation Sinus Tachycardia T wave inversion in lead I aVL and V2 to V6 It can be because of Stress Ischaemia Myocarditis Cardiomyopathy Left posterior bundle branch block

Is there dextrocardia, Sir ?
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She has Right sided heart...Dexocardia. Non specific T wave changes. In view of her pregnancy Echocardiography is advisable.

Detrocardia with anaemia as loss of appetite her l.f.t do be done ecg changes are combination of pregnancy and anaemia
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Sinus tachycardia T wave inverted in least V2 tov6 t wave inverted Two things either non specific or myocardial ischemia Rt axis deviation 2 decho

If leads are placed correctly D/d 1 dextrocardia should be r/o by xeay chest 2 rt axis deviation and t inversion in L1 avl and v2v3v4v5v6 RBBB 3 lt ventricukar dyskinesia r/o by 2decho Pt is anaemic needs correction

NSR, TACHYCARDIA DEXTROCARDIA T INVERTED IN CHEST LEADS Needs ECHO Blood culture, urine culture

Thank you, Friends
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Ecg-Dextrocardia. Advise-1-cbc 2-urine culture and senstivity test and urine complete exam. 3-blood for MP. 4-widal test.if alredy done rpt further. Tt as per reports.

Sinus tachycardia. Repeat ECG. Treat anemia

ECG .. NSR.. TACHYCARDIA.. NEED'S.. FURTHER EVALUATION WITH EXPERTS OPINION..

Ecg shows dextrocardia See for Chest xray And t inversion from v2 to v6 because of ischemic changes See for 2decho And treatment accordingly

Inverted t wave in chest leads is aphysiological change in ecg due to pregnancy.so except dextrocadia ecg is normal. Xray chest pa view shild xray confirms dx.
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Dextrocardia Anemia For fever Inj ceftriaxone 1g.i.v.bd Inj provas 100cc.i.v.bd

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