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Ebook Tips and tricks of bedside cardiology (first edition): Part 2

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Nội dung chi tiết: Ebook Tips and tricks of bedside cardiology (first edition): Part 2

Ebook Tips and tricks of bedside cardiology (first edition): Part 2

30Exertional Dyspnea, Cyanosis and FaintingPatient ProfileAge: 32 Sex: Female Built: LeanChief Complaints•Progressively increasing dyspnea on exertion

Ebook Tips and tricks of bedside cardiology (first edition): Part 2n for the last 1 year.•Coldness of hands and blueness of fingers since 3 months.•Fainting on 2 occasions in the preceding 1 month.Relevant History•The

re was no history of breath-holding spells or squatting episodes during her early life.•There was no history’ of recurrent sore throat, joint pains or Ebook Tips and tricks of bedside cardiology (first edition): Part 2

prolonged fever during childhood or adolescence.•There was no history of fever, productive cough, chest pain or hemoptysis preceding her recent worse

Ebook Tips and tricks of bedside cardiology (first edition): Part 2

ning of symptoms.•There was no history’ of palpitation and skipped beats or of orthopnea and paroxysmal nocturnal dyspnea.Physical Examination•No pall

30Exertional Dyspnea, Cyanosis and FaintingPatient ProfileAge: 32 Sex: Female Built: LeanChief Complaints•Progressively increasing dyspnea on exertion

Ebook Tips and tricks of bedside cardiology (first edition): Part 2eble•J VP: 5 cm above angle of Louis at 45 degreesProminent 'a' wave observed.•CVS: Normal apex beat, sustained left parasternal heaveSystolic pulsati

ons visible in the pulmonary' area Sj normal, P2 loud and audible upto the apex. No S3 or s4 gallop sound heardGr II /VI soft systolic murmur adjacent Ebook Tips and tricks of bedside cardiology (first edition): Part 2

to the sternum.•Chest: clear on auscultation, no rhonchi or crepts.'118 Tips and Tricks of Bedside CardiologyA n F.CG was obta i ned.ECG Findings:•ra

Ebook Tips and tricks of bedside cardiology (first edition): Part 2

il R wave in leads V | lo Vj•Deep s wave in leads V4 to V6•Peaked p wave; p. pulmonale.An X-RAY was also ordered.X-RAY Findings:• Right ventricular en

30Exertional Dyspnea, Cyanosis and FaintingPatient ProfileAge: 32 Sex: Female Built: LeanChief Complaints•Progressively increasing dyspnea on exertion

30Exertional Dyspnea, Cyanosis and FaintingPatient ProfileAge: 32 Sex: Female Built: LeanChief Complaints•Progressively increasing dyspnea on exertion

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