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Pulmonary Hypertension with BVF. *Chief Complaints* A 46 yr old female attended Mopd with progressive SOB and productive cough since 1 month with pedal edema since 10 days. No associated fever,chest pain,palpitation,Hemoptysis,Diaphoresis,pain abdomen etc. She is K/C/O Hypothyroidism and Br Asthma. No H/O HTN,DM,Substance abuse. Normal Menstrual Cycle. General Examination normal except B/l pedal edema and prominent Neck veins. Systemic Examination- B/l Infrascapular fine crepts with occasional Ronchi. Routine Ix was advised. Pt attended Mopd with reports showing- CXR - increased CT ratio suggestive of Cardiomegaly with b/l lower zone opacity. Sputum C/S normal flora. Rest blood Ix normal. ECG - multiple VPCs. 2D ECHO- 1. LV function is mildly depressed with estimated LVEF of 45%. 2. IVS and apex are mildly hypokinetic. 3. Right Atrium & Left Atrium are dilated. 4. Right Ventricle is dilated. 5. Moderate Tricuspid Regurgitation. 6. Severe pulmonary hypertension with calculated RVSP of 65mmHg +RAP. 7. Mild Mitral Regurgitation, 8. Trivial Aortic Regurgitation. 9. No LA/LV clot or pericardial effusion. NT Pro BNP not done. Pt started on conservative treatment.
Dr. Ashutosh Chandan Dubey44 Likes115 Answers - Login to View the image
38Y Male with breathlessness and pedal edema. Comment on CXR. will reveal past history in discussion.
Dr. Ravikanth Moka34 Likes76 Answers - Login to View the image
33 week amenorrhea with sudden onset of severe breathlessness , EF 40,%, myocarditis , no CAD , no history of any comorbidity , BP 130/90, Pulse 120 , Respiratory rate 40 , gasping , intubated and shifted to icu On vent. please interpret the ABG. how to proceed
Dr. Naveen Arichwal1 Like21 Answers - Login to View the image
elderly patient with shortness of breath ' palpatation' dry cough ' ..ECG show LVH with Wide QRS...chest x ray as shown
Dr. Gazi Shah1 Like20 Answers - Login to View the image
75year old Male Ex smoker and Ex alcoholic c/o DOE *2months, loss of appetite, weakness sleepiness and palpitations o/e B. P 110/70,PR 115-120/min,SPo2-95% without O2 Chest B/L decreased air entry lower zones no Rohnchi P/A Soft and Non Tender Echo ECG Chest X-ray attached CBC TLC 16400,ESR 66 RFT normal Lft Normal pleural fluid send to lab for examination suggest diagnose and treatment
Dr. Rahul Sharma3 Likes24 Answers