A Case of Breathlessness & Chest Pain
Praveen Kumar
A Case of Breathlessness & Chest Pain

*42 year old housewife reported to medicine emergency with history of dizziness followed by a syncopal episodes which she experienced while going to the washroom.
*It was accompanied by chest pain(progressive for 6 months, primarily on exertion, retrosternal, no radiation), produced swelling, breathlessness(for last 10 days& progressive in nature) & worse on lying down.
*cough with expectoration X 15 days
*Pedal edema on & off X 15 days
*Decreased Urine output X 15days
*She reported an episode of fever and joint pain during her childhood.
*Patient is from low socioeconomic background with no other CVS/respiratory risk factors.

ON EXAMINATION:
# GPE= dizzy but we’ll oriented. Pulse 90/min, irregularly irregular, low volume with no radio-radial femoral delay, BP 80/60mm Hg, Resp Rate 28/min, Afebrile to touch but cold periphery.

# P+/I-/JVP raised/LAP-/Cy-/Cl-/PE+
# Respiratory System Examinati B/L air entry with fine basal carrots.

#CVS Examination: Variably loud sound S1, soft S2, a mid-diastolic rumbling murmur best heard over the mitreal area and an opening snap.
Abdomen = Soft/ non tender.

How to proceed further for diagnosis…?




A●●●●l S●●●●a and 8 others like this1 share
Like
Comment
Share
D●●●●●●a m●●●o
d●●●●●●a m●●●o Ayurvedic Medicine
क्या हाल है मैं आपके साथ महत्वपूर्ण चर्चा साझा करना चाहता हूं मुझे संदेश लिखें या अधिक चर्चा के लिए मुझे अपना ईमेल भेजें (Dominikaenos@hotmail.com) आप कौन सी भाषा बोलते हैं? मैं अपने ईमेल के माध्यम से आपके संदेश की प्रतीक्षा करता हूं ---------------------------------------------------------------- how are you i want to share important discussion with you write me message or send me your email for more discussion (dominikaenos@hotmail.com) what language you speak? i wait for your message through my email... Read more
Mar 14, 2019Like