Sinus heart storke

A 60yrs old male presented to ER with complaints of severe chest discomfort,excessive sweating,palpitations.k/c/o T2DM ,Risk factors were smoking O/E- Bp -160/90mmhg,PR-110/mt,SPo2-98℅with 4L o2.BSR-170mg/DL This is his ECG.What is your provisional diagnosis n line of management?

A 45 yr old female presented to emergency dept with c/o uneasiness over chest, chest pain, anxiety and palpitations since last 1 hr. There is no h/o any pain radiation, vomiting , headache or heart burn. BP was 124/84 and PR was 101. Suggest DD and Mx.

read complete h/o then answer A 32 year old patient came with chief complaints of right sided weakness of ul an ll since last 4 days and difficulty in articulation since last 4 days deviation of face to left side patient was aa 4 days back when he developed weakness of rt ul and LL, which was sudden in onset at 9am in morning just half an hour after he came out of bathroom difficulty in articulation but he is able to understand and is able to communicate in broken words while laughing or speaking his moth is deviated to left and there is spilling of saliva and feeds, no h/o chest pain, palpitations, night sweats, pnd, breathlessness, RHD or any valvular heart disease in past, no h/o altered smell, abnormal eye movements, no change in facial sensations, no hearing difficulty, no neck fall, no swallowing difficulty past h/o known Hypertensive on t/t since 2 months taking steroids for migrating joint pain renal biopsy at young age of 20 hepres zooster on left abdominal wall 4 months back not diabetic general examination P 84/min normal character, normo volumic, with no radio radial or radio femoral dealy other pulsations felt BP 140/80 in right arm supine position JVP 9cm RR18/min temp afebrile rest normal systemic cn 7 involved umn type on right side With absece of nasolabial fold rest Normal tone increased in right ul and ll power 0/5 both rt ul and ll reflexes brisk biceps, triceps, supinator knee and ankle plantar extensor on rt what is your complete diagnosis? please give reason? how will you treat?

18yrs old male athlete presented with the c/o unable to extend the little finger.H/o trauma 1yr back. Diagnosis & treatment(corrective) ???

44 years female having sudden on set of chest pain and radiating to right side .. palpitations .. case of hypertension on medication .. anxiety sir please advise Sir investigations added now