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Unusual Complication of Pneumonia

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Stanley Medical College, Department of Medicine
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AN UNUSUAL COMPLICATION OF PNEUMONIA ,[object Object],[object Object],[object Object]
5/6/10 Mr.Kanagaraj , 23/M, came to the opd with c/o - fever - 7 days cough with expectoration - 5 days breathlessness - 3 days
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General examination- Conscious, oriented, No pallor/icterus No cyanosis/clubbing No generalised lymphadenopathy moderately dehydration+ Dyspneic Febrile, Temp-101 F JVP elevated Vitals- Pulse- 120/min, regular, nomal volume B.P- 100/70 mm Hg
System examination: CVS – S1S2 normally heard, no murmur RS – BAE, Over left mammary,axillary,infra-axillary, lower interscapular and infra-scapular areas- Crepitations+ VF/VR Bronchial breathing-tubular Egophony+
ABDOMEN: soft, no organomegaly CNS: No focal neurological deficit
Provisional Diagnosis ,[object Object],[object Object]
 
ECG:
ECG:
Provisional diagnosis ,[object Object],[object Object]
 
 
ECHO: ,[object Object],[object Object],[object Object],[object Object]
Baseline Investigations: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
6/6/10 ,[object Object],[object Object]
16/6/10 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
17/6/10 Repeat Echo: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Final diagnosis ,[object Object],[object Object],[object Object]
5/7/10 ,[object Object]
 
 
[object Object],[object Object],[object Object],[object Object]
 
Post op ECG:
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiological classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical picture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Viral pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bacterial pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tuberculous pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Constrictive pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Hemodynamics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contd……. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemodynamics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Pulsus paradoxus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lab. Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effusive constrictive pericarditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low pressure tamponade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
References ,[object Object],[object Object],[object Object],[object Object]

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Unusual Complication of Pneumonia

  • 1.
  • 2. 5/6/10 Mr.Kanagaraj , 23/M, came to the opd with c/o - fever - 7 days cough with expectoration - 5 days breathlessness - 3 days
  • 3.
  • 4.
  • 5.
  • 6. General examination- Conscious, oriented, No pallor/icterus No cyanosis/clubbing No generalised lymphadenopathy moderately dehydration+ Dyspneic Febrile, Temp-101 F JVP elevated Vitals- Pulse- 120/min, regular, nomal volume B.P- 100/70 mm Hg
  • 7. System examination: CVS – S1S2 normally heard, no murmur RS – BAE, Over left mammary,axillary,infra-axillary, lower interscapular and infra-scapular areas- Crepitations+ VF/VR Bronchial breathing-tubular Egophony+
  • 8. ABDOMEN: soft, no organomegaly CNS: No focal neurological deficit
  • 9.
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  • 11. ECG:
  • 12. ECG:
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