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Right Ventricular Faliure with Pulmonary HTN

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Medicine case I am an intern in medicine I am sharing this  case as important terms of completion of my internship. A 30 years old male patient who is Shepard by occupation presented to our op with bilateral pedal edema extending up to knee and also with dyspnea on exertion since 15 days and he also given the history of palpitations since 1 year . Decresed urine output since 2 days. Patient apparently asymptomatic 1 year back then he developed the palpitations which were persistent and ponding type  and get precipitated on exertion and relieved by taking rest, patient started to have dry cough without  any expecteration in last 15 days he first became brethless for walking for a short distance. He also reported in getting upstairs and walking from one day before coming to hospital   He reported he never felt dyspnic before and never felt orthopnea or PND  He has no H/o fatigue ,no H/o cyanosis or hemoptysis  He has no H/o jaundice & no hesitency and frequency in micturation Past hi
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60 year old male with Bronchiectasis

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61 year old male with 80 pack yr smoking with bronchiectasis ? pulmonary fibrosis. 61 year old male with Chief complaints of grade 2 SOB and cough with expectoration since one week.  HOPI:patient was apparently asymptomatic week back then he had fever, cold, cough, shortness of breath for which taken to the local hospital in motkur and symptomatic treatment was given. history of fever which was intermittent low-grade decreased with medication present for 5 days.cough with expectoration- white in colour, minimal amount, non foul smelling, non blood stained. no history of chest pain, palpitations, orthopnea, PND. No h/o coronary artery disease, tuberculosis,thyroid disorders. addictions like toddy since 25 years of age one bottle per day and alcohol since 30 years of age 90ml per day. Beedi 2 packets per day since 50 years of age. O/E :  patient is conscious, coherent, cooperative. Grade -4 Clubbing present. no signs of pallor, icterus,cyanosis, lymphadenopathy, pedal edema. Vitals : tem
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