Concluded Case

SINUS BRADYCARDIA HYPOTENSION

A 45 years old male patient, complaining with pain abdo, dizziness, fever č general weakness. Chief Complaints Hypotension and Bradycardia History NAD Vitals BP 80 /50 mmHg Pulse 48bpm Temp. 97°F R/R 20bpm Physical Examination Chest B/L clear Abdo.distended CVS s1 & s2 P Spo2 99% Investigations Reports are submitted Other awaited USG suggest Management Conservatives management started

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Concluded answer

POSSIBLY TYPHOID WITH .... U. T. I... AND HYPOTENSION... YES... CONSERVATIVE MANAGEMENT WITH CULTURE. AND. SENSITIVITY TESTS.... USG

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Fever hypotension Brady pain abdomen with lab findings suggestive of typhoid illness , Give fuids , Mx with antibiotics, analgesics , supportive treatment , It looks prerenal ARF bcz of hypotension ..

POSSIBLY TYPHOID WITH .... U. T. I... AND HYPOTENSION... YES... CONSERVATIVE MANAGEMENT WITH CULTURE. AND. SENSITIVITY TESTS.... USG

? SINUS BRADYCARDIA .. WITH .. ASSOCIATED.. COMPLICATIONS .. NEED'S.. CARDIOLOGISTS OPINION .. PACE MAKER ..

Agree with @Kute Ankush adv to cardiologist opinion and further procedure Rx HRT tab 2bd Shankh vati 2bd Galo ghan 1bd SH tab 1bd are useful

A precipitous episode of hypotension with concomitant bradycardia is a true medical emergency especially in patients with chronic hypertension and often requires hospitalization for detailed interrogation of the underlying causes. We describe herein a case of a patient with chronic labile hypertension who presented to the ED with a sharp drop in blood pressure and heart rate which was not simply explained by an antihypertensive overdose but more so by an aggregate of the patient’s multiple chronic medical conditions. This report highlights the complexities of treating simultaneous hypotension and bradycardia and the importance of discerning the underpinnings of the causes including past medical issues, patient medications, and the timeline of key events leading to the issue at hand. A precipitous episode of hypotension with concomitant bradycardia is a true medical emergency especially in patients with chronic hypertension and often requires hospitalization for detailed interrogation of the underlying causes. We describe herein a case of a patient with chronic labile hypertension who presented to the ED with a sharp drop in blood pressure and heart rate which was not simply explained by an antihypertensive overdose but more so by an aggregate of the patient’s multiple chronic medical conditions. This report highlights the complexities of treating simultaneous hypotension and bradycardia and the importance of discerning the underpinnings of the causes including past medical issues, patient medications, and the timeline of key events leading to the issue at hand. If you don’t have symptoms, you likely won’t need any treatment. But if you have symptoms, you may need treatment. This may include treating a cause such as an underactive thyroid. You may need to lower or stop medicines that may be causing the slow heart rate. These can include beta-blockers and calcium channel blockers. Some people may need a temporary or permanent pacemaker. This uses a small electrical impulse to increase the heart rate.typhoid azkam 500 BD Dolo 650 sos,cal 123 od

Cardiac pace maker will be useful

हृदय रोग विशेषज्ञ से परामर्श करें।

HRCT USG kub Echo....

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