65 yr female with heart failure and B/L pleural effusion and anemia
Unit 3:
Interns:
Dr .Leela
Dr Harsha
Dr Archana
Dr Kalyan
Dr Jeehariki
Dr Raveen PGY1
Dr Aashitha PGY2
Dr Aravind PGY3
Dr Vamshi PGY3
Dr Hareen SR
Dr Praveen Naik Ass Prof
DR. RAKESH BISWAS HOD
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Here is a case i have seen on 17/2/2021
A 65 year old woman presented to the casualty with the complaints of
Dyspnea at rest since 3 days
Chest pain since 2 days
Cough since 2days
Patient works as a house wife and has had 3 normal vaginal deliveries. She has had a tubectomy done 35 years ago.
On routine check up, she was diagnosed to be hypertensive and diabetic 2years ago and has been on regular medications ever since.
Now coming to her present complaints
She has been experiencing Dyspnea at rest all of a sudden since 3 days because of which she has been having disturbed sleep. The following day she developed chest pain which has been retrosternal in location radiating to her left arm associated with productive cough with scanty mucoid sputum.
She visited Kims at hyderabad for her present complaints where in she was told she had heart failure and was stsrted on medications.
Upon presentation to us,
She was a pale looking woman
Vitals:
PR :98bpm
BP:120/80mmhg
RR : 22cpm
Afebrile to touch
Spo2: 98%
GRBS:138mg/dl
CVS EXAMINATION:
Inspection:
RESPIRATORY SYSTEM:
Bilateral inspiratory crepts is in IAA, IS
ABDOMEN:
Non tender
Bowel sounds +
Outside reports show dilated RA, RV, LA with severe LV dysfunction
Bilateral mild pleural effusion
Ultrasound video:
DIAGNOSIS:
1.Heart failure with reduced EF of 28%
2. Bilateral pleural effusion
3. Anemia under evaluation
4. Known case of hypertension and Type 2 DM
