problem case – ecg and breathlessness dr s chauhan
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Problem Case – ECG and Breathlessness
Dr S ChauhanDr S Chauhan
A 39 year old lady with a two week history of shortness of breath on mild exertion. What would be the differential diagnosis?What would be the differential diagnosis?
What other history do we need?What other history do we need?
The only other history of note is that her brother who is 15 years older The only other history of note is that her brother who is 15 years older has been diagnosed as having lung cancer 6 weeks ago.has been diagnosed as having lung cancer 6 weeks ago.
What initial investigations would you pick from the following and why? 1.1. NoneNone2.2. UrineUrine3.3. FBCFBC4.4. TFTTFT5.5. RFTRFT6.6. ESRESR7.7. Chest x-rayChest x-ray8.8. ECGECG9.9. OtherOther
The Practice that you are working in does not have
any venesection facilities or an ECG. What choice of
actions do you have?The ECG taken of this lady is shown The ECG taken of this lady is shown
over the page over the page
Please describe the changes
Having seen the ECG changes, what Having seen the ECG changes, what options do you have?options do you have?