pt came with Left leg has no other specific complaints related to CVS..k/C/of Hypertension ..BP 140/90..



Ecg shows sinus bradycardia, Left axis deviation Marginal Left ventricular hypertrophy, old inferolateral ischaemia. The cause of above Ecg finding is hypertension with old inferolateral ischaemia of long duration. The cause of leg cellulitis is severe infection, it is not related at all with ischaemic changes.There is no changes seen of hypokalemia in Ecg.The infection of leg cellulitis may be caused by MRSA or other organism.Antibiotic,antiinflamatary and b complex is treatment. CBC ,URINE examination complete, Serum plasma glucose, Serum TSH.Serum electrolytes and blood culture should be done.

Bradycardia with left axis deviation-LVH ST changes . Treat cellulitis with higher antibiotic and hypokalemia can be corrected with Syrup KCL as well . Further evaluation by cardiologist can be advised .

This is a case of uncontrolled hypertension, with left leg cellulitis with hypokalemia and ecg shows LVH, sinus bradycardia,with ischemic heart disease.

ECG shows T-wave inversion in lateral leads.Needs echocardiogram to rule out nonQ MI.In view of sinus bradycardia and left axis deviation a 24hr Holter is advisable to exclude underlying Sick Sinus Syndrome.The cellulitis may be unrelated but thyroid profile should be done and possibly a doppler venous study because the most important differential diagnosis for suspected cellulitis is DVT.

Ecg shows sinus Bradycardia with left axis and LVH with sec st /t wave changes

Giant U wave in v3 Check S.K LVH with strain St t changes in v4 to v6 suggestive of Cardiomyopathy Echo needs

sinus bradycardia with old inferior-lateral wall ischemia. do blood culture for cellulitis. CBC, TFT, Sr-electrolyte. 2d-echo start antibiotic for staphylicoccus coverage. rutoheal aspirin

left axis deviation with LVH with lateral and inferior wall ischaemia

sinus bradyjardia@52/min. left axis deviation. LVH. inf wall ischaemia.

Sinus bradycardia LAD T inversion in 1,2,V4-V6 S/O: Lateral wall ischemia Hypertensive heart disease

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