HT WITH PEDAL EDEMA

Respected dr plz share a expert advice A male patient age 38 years BP 140/90 and Xray shows cardiomegaly . He complain dyspneoa on lying or walking position. He take TelmaH on morning and clonazepam at night. On examination he shows pedal oedema .his ECG is normal .wt 68 kg constipation present

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Young 38yrs old hypertensive pt on medication and c/o dysponea on exertion and pedal oedema is present needs investigations 1 2decho 2 stress test 3 cardiac enzymes and trop i 4 KFTS 5 bslR 6 TFT 7 sr cholestrol and tg hdl and lipid profile 8 sos angiography Rx review the line of treatment Telma H continue 2 metaprolol 50mg 1od 3 clopidogril+aspirin 75+150mg 1od 4 rosuvastatin 10mg 1od Avoid salt in diet Change of lifestyle

Thanx dr Sandeep Ss
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Pl.post his ecg pl get his 2d echo done He might be in cardiac decompensation Pl start tab lasilactone 1 tab at 8am.pl add tab cardivas 3.125mg 8am.pl send me 2d echo report

BL.. PEDAL OEDEMA.. WITH.. BP.. 140/90 .. ? RENAL PATHOLOGY.. ? CARDIAC PATHOLOGY.. ? LYMPH PATHOLOGY NEED'S.. HEMOGRAM.. URINE ROUTINE.. LFT..KFT.. ECG..2D ECHO STUDY.. COLOUR DOPLAR STUDY..

Looks CCF But rule out other causes Cbc esr serum creatinine Serum protein Tsh Ecg 2 decho Opinion of cardiologist

chandraprabha vati n massage wid saindhavaadi tail will give good results

Seems to b CCF. Adv ECHO,Haermogram,L.F.T.,K.F.T,Urine complete,exam,Color Doppler . Cardiologist opinion..

Apis 30 TDs Aspidosperma Q And take the case history Give one dose similimum (constitutional medicine)

Do renal profile with fbs, ppbs Medicines are good continue with it Advice patient to reduce salt and water intake

Tab lacilactone might be good for oedema

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