distal pulmonary artery stenosis
TRANSCRIPT
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Interesting Case presentation
Dr.kefelegn D
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HX• 19 years young male from Karnataka state.• known cardiac patient since the age 15 yrs
not taking his medications.
• Has dyspnea on mild to moderate exertion because of which not attending the school.
• Palpitation and occasional chest pain.
• Currently came with ↑ dyspnea ,hemoptysis and fever of 2 weeks.
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P/E NO DYSMORPHIC FEATURES V/S BP=100/60mmHG PR= 1o4’ T= 102
SPO2=98%CREPITATION AT LEFT MIDDLE POSTERIOR LUNGALL PERIPHERAL ARTERIES PALPABLE,ACTIVE
PRECORDIUMPARASTENAL HEAVE,RV APEX ,P2 ACCENTUTEDG III SYSTOLIC MURMUR AT RIGHT 2ND INERECOSTAL,GIII
PSM AT LLSB.NO CLUBING ,NO CYANOSIS.
DDX???
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TC slightly incresaed ABG=PH =7.45 PO2 =77.3 PCO2=31.1 SAT=96%
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• SPIRAL CT PULMONARY ARTERY
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`
• G:\10010000535878_Praveen\Viewer\MediaViewer.exe
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• Is it enough to intervene??
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BALLON ANGIOPLASTY OF RPA stenosis
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THANK YOU !
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