1 to 25 THESIS CASES
CASE NO -1 77 years / MALE D. O. A : 03/03/2024 D. O. D : 13/03/2024 Diagnosis 1.CARDIOGENIC SHOCK(RESOLVED) SECONDARY TO ACS [NSTEMI EVOLVED IN LCX ,RCA TERRITORY ] WITH ATRIAL FIBRILLATION WITH FAST VENTRICULAR RATE(RESOLVING) 2.HEART FAILURE WITH REDUCED EJECTION FRACTION [EF -20 %] 3.? CARDIO RENAL SYNDROME TYPE 1 4.? PRE RENAL AKI ON ? CKD [RESOLVING] 5. RIGHT UPPER LOBE FIBROSIS POST TB SEQUELAE Case History and Clinical Findings C/O DIFFICULTY IN BREATHING SINCE 1 MONTH HOPI PATIENT WAS APPARENTLY ALRIGH 1 MONTH BACK THEN DEVELOPED DIFFICULTY IN BREATHING INSIDIOUS ONSET GRADUALLY PROGRESSIVE FROM GRADE 1 TO GRADE 2 TO GRADE 4 .NOW MMRC NO H/O BLEEDING MANIFESTATIONS NO H/O SWEATING ,GIDDINESS NO H/O BURNING MICTURATION ,SKIN CHANGES ARROUND UMBILICUS NO H/O FEVER ,COLD ,COUGH NO CHEST PAIN , PALPITATIONS ,ORTHOPNEA K/C/O TB 2 YEARS AND 4 YERAS AGO -O MEDICATION FOR 6 MONTHS EACH TIME N/K/C/O DM , HYPERTENSION, TB, ASTHMA, EPILEPSY. SMOKES 2-5 CHUTTAS /DAY STOPPED 2 MONTHS ...