What's the problem?

32y/f , house wife left side chest pain since 2-3 month. Feeling tenderness and breathing problems when walking and do some work. Chief Complaints Chest pain and tender left side. History Low back pain before One year ago and relief by allopathy medication. Vitals BP 100/70 mm/ hg Puls 84 bpm. SpO2 99% Physical Examination No abnormalities Investigations X-RAY and ECG done. If necessary any investigation please suggest. Diagnosis Please suggest Management Please suggest

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Ecg suggestive of rt axis deviation with RBBB Rest of ecg is WNL Xray chest suggest cardiomegaly with dialated arch of aorta? Lt hilar swelling Findings are cosistent with ?aortic aneurysm 2 lymphadenopathy Rest of lungs are hyperinflated Adv 2decho Cardiac enzymes and trop i H/o DOE and tightness in chest are likely due to copd Adv pft Pt needs further workout Series of ecg and diabetic profile sr cholestrol and lipid profile TFT

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ECG NSR, sinus tachycardia RAD , RBBB right ventricular hypertrophy Xray chest COPD, Emphysema Prominent pulmonary artery ? PAH , ? Primary,? Secondary to ASD, Valvular heart disease Suggest CT, ECHO

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? MUSCULOSKELETAL PAIN.. ? SPRAIN.. NEED'S.. SYMPTOMATIC T/T.. INVESTIGATE..SOS.. ANEMIA PROFILE.. SR..CALCIUM.. ROUTINE INVESTIGATIONS.. 2D ECHO STUDY.. STRESS TEST..

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ECG shows P Pulmonale , RBBB and LPHB. X Ray Chest shows hyper inflated lungs. Emphysematous chest. COPD

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COPD LVH ? LA dilatation with prominent Pulmonary conus. Adv Echo CD and CT thorax. Evaluate for active infection.

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Sinus rhythm, RAD,RVH, RBBB Pattern. cxr PA View hyperinflated lung fields, cardiomegaly. needs further investigation 2Decho, lipid profile,

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P.Pulmonale RBBB Advise Echo to ruled out Pulmonary htn

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Pneumothorax

It seems costochondritis...

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Please do an echocardiography..

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