Sudden onset dyspnea with Hypothyroidism

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Post ecg as st depression if significant with rise in contraleads than cognizance to be taken Pt is a c/o hypothyroidism and on on L-thyroxine 25ug Likely pt may be in potential stage of hyperthyroidism as presenting symptoms indicate just check t3 t4 tsh

Recently started L thyroxine on the basis of TSH 13, She has been having such complaints for past more than a month
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? ANXIETY NEUROSIS.. NEED'S.. SYMPTOMATIC T/T WITH CLINICAL CORELATION..

Tnx Dr Vipin Bihari Jain sir
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Likely anxiety

Dyspnea Draksaristha and kumaryasava with avipattikar churna

Likely Anxiety neurosis Start Ambulax M HS

Propnolol ( Ciplar 10 mg) tds

Monosorbitrate 10 mg bd Or diltiazam 30 tds

BP most of the time is 109/90, 98/79 Pulse is variable too, 94, 116, 109

Sorbitrate 2.6 mg as per BP.. If BP is > 100/70 mmofhg

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