WelcomeJuly 12, 2020    
 
 
 

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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES
X-Rays
Case Title: A 40 year old male presented with dyspnoea and fatigue from 3 months.

Case History: A 40 year male patient with no previous history of cardiac disease presented with rapid symptomatic deterioration (dyspnea and fatigue) over 2-3 months.And has shortness of breath with mild exertion (NYHA 3). He was a chronic smoker and has a history of"Polycythemia rubra vera" incorrectly diagnosed 18 months earlier treated with regular phlebotomy.
He's taken allopurinol for gout for two years.Pulse 100/minute; BP 140/95 mmHg.
Moderate cyanosis and clubbing of fingers and toes (saturation 70%)
JVP normal, no edema. Mild RV lift. Loud single second sound. Early systolic sound. Grade 2 ejection systolic murmur LSB.


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X-Ray finding1
There is mild cardio megaly. The left heart border has a peculiar shape possibly due to dilated pulmonary trunk. The right ventricle is normal in size, although such xray findings may be misleading. The right desending pulmonary artery is probably dilated. Pulmonary vascularity appears normal.
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X-Ray finding2
The lateral view of the xray showing mild cardio megaly. The left heart border has a peculiar shape possibly due to dilated pulmonary trunk. The right ventricle is normal in size, although such xray findings may be misleading. The right desending pulmonary artery is probably dilated. Pulmonary vascularity appears normal.
Click here for enlarged View
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