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
POSSIBLY TYPHOID WITH .... U. T. I... AND HYPOTENSION... YES... CONSERVATIVE MANAGEMENT WITH CULTURE. AND. SENSITIVITY TESTS.... USG
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।
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15 yrs old male pt has admitted with the complaints of vomiting 4 times followed by inability to use the lower limbs initially within one hr both upper limbs also. .quadriparesis. . pulse..irregular. BP ..96/70 mmhg. . ecg shows arrhythmia. . 1.. what are the clinical conditions that will affect both heart and nervous system. ..how will you differentiate clinically? 2..how to approach this pt? 3. ecg findings? 4..investigations and treatment? plz share your views. ...Thanks in advance. .
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A 48yrs old male presented to ED having H/o sudden onset LOC and seizure with multiple episode of vomitting.K/c/o HTN not on regular treatment as advice by his family doctor.O/e CNS - conscious,alert,oriented,Right UMN facial palsy,Both pupils are normal in size.GCS-E3V4M4,Bp-170/90mmhg.Diagnosis?
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82 year old lady suddenly collapsed , has left sided weakness in upper and lower limb and difficulty in speaking Clinical diagnosing: stroke . following are the MRI and mr angiography reports Kindly suggest management with special emphasis on how to rehabilitate stroke patients
Dr. Uttara Desai1 Like10 Answers - Login to View the image
A 82 Yr. Old female came on ED with C/O of 7-8 times loose motion with No Pain & spasm of Abdomen, then she feel diziness, general weakness, PMH - HTN / CAD with enlargement of heart DIAGNOSE WITH 3 YEAR AGO taking Tab. Clavix, ecosprin 75 mg Od, Tab. Ramipril 2.5 mg - BD, Tab. Ranolazine 500mg BD, Pt. Vitals - Pulse 66BPM, B.P. 180/90mm/hg, SPO2 - 96%, RBS - 120MG/DL, R/R - 24 Brth/Min, O/E CVS - S1S2+, CNS - COUNCIOUS, R/S - B/L CLEAR, P/A - Mild tenderness RLQ region Comment on ECG and Line of treatment
Dr. Rajendra Rai1 Like9 Answers - Login to View the image
15yrs/ male.. approx. wt- 75kg ht- 5'10''.. presented with history of recurrent blood in saliva even after treatment..5months back.. Got investigated for it.. All blood investigations came to be normal.. including INR..which cane to be 1.1.. ENT opinion and CT PNS revealed mild DNS.. UGIE came to be normal.... After 1 month bleeding stopped.. but since then patient started complaining severe headache.. and now headache has increased upto such an extent that leads to stiffening of B/L U/L and L/L.. and several times tongue bites is also seen.. at times of such episodes his BP shoots upto 180.. No H/o fever, soiling of clothes, or any other specific history.. O/E:- CNS-- b/l pupils nsnr, B/L plantars mute.. n all reflexes normal... CVS-- NAD P/A-- NAD R/S-- NAD 2d-echo-- AV sclerosed rest all normal MRI Brain-- Normal EEG-- Shows normal awake EEG/ Brain mapping reports attached.. pls suggest differential diagnosis.. and management of the same
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