Xray and electro cardio gram presentation

Xray & electro cardio gram

1. ECG & CXR OF THE WEEK DR.BHAVYASHA B JR 1

2. X RAY

3. SUMMARY: 52 YRS OLD FEMALE ADMITTED WITH C/O FEVER,COUGH WITH EXPECTORATION FOR PAST 1 WEEK

4. O/E: PATIENT CONSCIOUS,ORIENTED, AFEBRILE, TACHYPNOEIC SYSTEMIC EXAMINATION: CVS: S1,S2 +,NO MURMUR RS: DECREASED BREATH SOUNDS RIGHT INFRA SCAPULAR & INFRA AXILLARY REGION B/L WHEEZE+ P/A: SOFT,NOT TENDER,NO ORGANOMEGALY CNS:NFND,B/L PERTL

5. INTERPERTATION CHEST XRAY PA VIEW NORMAL POSITION NO ROTATION OVERPENETRATION INSPIRATORY FLIM CTR < 0.5 RIGHT COSTO & CARDIO PHRENIC ANGLE OBLITERATED THIN WALLED CAVITY RIGHT MID & LOWER ZONE WITH AIR FLUID LEVEL

6. DIFFERENTIAL DIAGNOSIS: LUNG ABSCESS CAVITATING PNEUMONIA WITH PARAPNEUMONIC EFFUSION HYDROPNEUMOTHORAX

7. CECT

8. RIGHT MODERATE HYDROPNEUMOTHORAX / EMPYEMA IN RIGHT MIDDLE LOBE AND OBLIQUE FISSURE RIGHT LOWER LOBE CONSOLIDATION

9. ECG

10. CLINICAL HISTORY A CASE OF CAD RECENT ANTEROLATERAL WALL MI LYSED WITH TENECTEPLASE ON DAY 8 POST LYSIS PATIENT COMPLAINTS OF GIDDINESS O/E: PT DROWSY,MILD DYSPNOEA,OBEYING ORAL COMMANDS VITALS: HR-150/MIN BP-60/? S/E: CVS- S1,S2 + RS - BAE+ P/A - SOFT CNS - NFND

11. INTERPERTATION 12 LEAD ECG NORMAL STANDARDIZATION WIDE QRS TACHYCARDIA S/O MONOMORPHIC VENTRICULAR TACHYCARDIA

12. AFTER 200J DC SHOCK

13. 12 LEAD ECG NORMAL STANDARDIZATION SINUS RHYTHM RBBB LEFT ANTERIOR HEMIBLOCK POOR PROGRESSION OF R WAVE POST SHOCK VITALS: BP- 90/60MMHG WITH NORAD SUPPORT HR -120/MIN

14. THANK YOU