Complications of HTN & follow up.

37 year old male came with the c/o burning sensation in the epigastric region and history of regurgitation of food. No h/o palpitations, exertional chest discomfort, sweating. Not a K/c/o T2DM,HTN,IHD. No significant family history. Smoker and alcoholic. HR-92 BPM Bp-200/110 mmhg Spo2-98% at RA RS,CVS,P/A,CNS are NAD

70 yr old male Hypertensive Non diabetic C/o dypnea n headache Bp- 170/100 Pulse -104 Ecg attached Dd/investigations/Rx?? Kindly reply

52/m c/0 right sided chest pain . nil past history,o/e loud s1 , all other system wnl.ecg below, dx and Rx ?

65 yr old female wid sudden onset loss of speech,headache,confusional state,insomnia,generalised weakness.h/o dm irregular on drugs.b.p 150/80 .bsl random 350.intermittently follows command.kindly suggest further management .ct brain done after 4 days of the onset of symptoms.

Hyperkalemia *Chief Complaints* A 65 yr old male attended Mopd with SOB since 6 hrs. No associated chest pain,palpitation,fever,Cough ,Dizziness,Nausea or vomiting etc. He is K/C/O HTN,T2DM,Subclinical Hypothyroidism,Stage 4 Diabetic Nephropathy,D Retinopathy with Neuropathy,CAD- DCMP,LVEF 30%,old DVT ,Secondary Anemia. General Examination and systemic Examination normal. Urgent ECG was done which showed Hyperkalemia features - Bradycardia 33/min,irregular rhythm,absent P waves ,wide QRS complex indicative of Hyperkalemia with potassium level between 6.5-8 mEq/L. Pt was immediately brought to Emergency. Conservative management was done and blood sample was sent for Ix. ECG after 1 hr shows tall Tented T waves with prolonged PR interval indicative of Hyperkalemia with potassium level between 5.5-6.5 mEq/L. Reports arrive showing Sr Potassium of 6.7. Pt was shifted to ICU,pt is now doing well .