What's the problem?
42years old house wife came to the complain of sleeplessness since 3 weeks.
Normal ECG except for sinus bradycardia Insomnia of short duration is likely to be due to anxiety. Councelling and anxiolytic like buspirone are indicated.
S.Bradycardia Flattening of St segment with pointed T wave Check Lytes level, thyroid function
Sinus bradycardia otherwise normal ecg Get Thyroid function test And electrolytes
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33 year Female c/o:- Indigestion, Gas Problem, Acidity and Abdominal Pain since 7 years all complain start after delivery, Normal Delivery, Male Child Acidity on Empty Stomach, Acidity Better by Drink cold water Heaviness of Abdomen after eating Abdominal Pain mostly at 4.00 am with Stool Pass Dryness of Throat, constant urging to drink water Appetite - Loss of Appetite, Anorexia Stomach - Desire for Spicy and Sour Food Aversion to Sweet Thirst - Unquenchable Thirst for Large amount of water, but still not satisfied Thermal - Hot++ Stool - Sticky mucous after stool, Stool with indigestible food particle Menses - Too Profuse, Too Early, Black colour with Clotted Menses, Leucorrhoea after Menses Sleep - Sleeplessness, Insomnia, Sleep On Back Mind :- Anxiety About Health+++ Weeping Disposition+++ Always Tell Symptoms with crying (weeping) Phone Call to every relative when in trouble either physical or mental USG Abdomen - Cervix appear mild bulky and measures 33*29 mm with multiple nabothian cysts in cervix, largest measures 10 mm. Impression - Early changes of adenomyosis. Bulky cervix with nabothian cysts-possibility of cervicitis suggest treatment???? urgent......
Dr. Dhaval Patel4 Likes22 Answers - Login to View the image
Today's Interesting Case. need your help. ALL of you. case of ORAL Lichan Planus. . A 46 yr old female came to me FOR following complaints. *mouth ulcer type lesions since 1yr. *thats why unable to eat properly. *insomnia since 8 yrs. taking tranquilizers since. *general weakness. . taking allopathic medicines but not get complete relief. diagnosed as LP.. . HPE report is NORMAL. . House Wife +Farmer. workaholic. . Appetite:-decrease. thirst for cold water. dreams of religious. awakening suddenly. . Past history:-. previous c/o Anxiety neurosis. 8yrs back due to continued heavy work and untreated fever. at that time constantly doing suicidal tendency. after taking allopathic management for 4 yrs she is ok now. no any episodes occurs. . Two children with NORMAL delivery. . MENSES regular. . mentals:-- calm and quite. workaholic. . Share your valuable opinion,management plan regarding this case. Thanks.
Dr. Akshay Ingole1 Like47 Answers - Login to View the image
32y/m c/o chest pain, ghabraht,insomnia Since 3 days Diagnosis .....
Dr. Indradev Yadav2 Likes14 Answers - Login to View the image
45 f pt c/o anorexia,palpitation,general weakness bp 90/70 p 80bpm no c/o chest pain rs clear no pedal oedema hb 10.5 rr n what has to be done
Dr. Guruprasad Juwale3 Likes7 Answers - Login to View the image
40 yrs female c/o generalized weakness ,anorexia .. dyspnoea on exertion..what is ecg.?
Dr. Vaibhav Patil5 Likes7 Answers