Smoker , ex alcoholic 45 yrs patient presented with epigastric and retro sternal burning since 5 days early in the morning 2-5 am and subsides by its own after 6 am ... he is normatensive and non diabetic pls help me in dx and mngmnt
S.rhythm Irbbb LVH T wave hv different height in lead v3 mean to say T wave looking different in each beat in same lead But at the same time T wave fatty & hyperacute in v4, v5 U wave present Check S.K 1st repeat ecg Rx Abdominal pain Risk factors r there so we can't left ACS Advice serial ecg
Pt is smoker and ex alcoholic H/o pain chest ECG is significant changes are seen NSR Sinus bradycardia Rsr complexes suggest RBBB Tall T in L2 and v3v4v5 Deep s in avrand v1 Suggest anterolateral ischimia
Bradycardia, Tall peaked T waves inAnt.Chest leads, conduction abnormality with atrial ectopics inV3. PR dipression seen. A case of Hyperkalemia.
Ecg attatched ( incomplete) Is normal. Patient is peptic ulcer case. Should take biscuits etc at bed time. Continue anti ulcer treatment.
Sinus bradycardia ( rate ~55/ min.) Incomplete RBBB T wave inverted in v1 Tall T waves in v345 However pain may be noncardiac in origin. Pt should be given analgesics,antacids & ppi either orally or parenterally. Diclofen ( analgesic) should be given as injection as orally it can cause acidity.
Chronic Gastritis. ECG-HR.60bpm. Incomplete RBBB. Basic ECG normal. Pt.required PPI with life style modifications Avoid spicy food and take supper 2To3 HR. Before going sleep.
Sinus rhythm, incomplete RBBB, tented hyperacute t wave in precordial leads. Like in hyper kalaemic. Check serum electrolytes.
ECG wnl ,treat him symptomatically.
Bradycardia with hyperacute the wave Different T waves in V2&V3 Serum potassium levels should be done Echo will be required after repeat ecg Treat with PPI and quit smoking
It is incomplete ecg only findings bradycardia & tall t waves in v3 v4 pl repeat ecg only antacids bed rest
Cases that would interest you
- Login to View the image
Patient came to me with complain of brittle ant lower teeth . According to patient last year she got herpez zoster w.r.t.lower right region of face including tongue. After that teeth become brittle and due to brittleness 43 broken. What is d diagnosis and treatment?
Dr. Baljinder Sandhu7 Likes16 Answers - Login to View the image
55 yo female c/o chest heaviness headache since 5 days bp 150 90 p 88 spo2 99 ph nil
Dr. Bharat Patel0 Like20 Answers - Login to View the image
Patient complains of sudden onset pain in epigastrium region, retrosternal discomfort. ECG done. What is the diagnosis?
Dr. Kanika Kalra1 Like35 Answers - Login to View the image
Male 60 compain of breathlessness with 140/90 and pulse 90 with CAG show mid Lcx 70-80 lesion n rest normal. Give give him tab concor 2.5 with cap ecosprin gold / tab angiplat 2.6 bd and budecort 200 rotacap od and tab nexpro rd. Patient till having buring in chest n throat and generalised weakness with exertional dyspnoea. Patient having a h/o of smoking since 45 yrs kindly suggest suggestion further apart from cardiac.
Dr. Rakesh Kathiriya1 Like9 Answers - Login to View the image
27 year male epigastric / chest discomfort weakness anxiety tachycardia Lean & thin built can't tolerate cold wt. loss please guide
Dr. Rajendra Bagadia3 Likes8 Answers