Hello, Welcome to icliniq.com. Low SpO2 (saturation of peripheral oxygen) without apparent shortness of breath suggests the possibility of OSA (obstructive sleep apnea) or hypoventilation rather than the cardiac cause. Such patients tend to have chronic hypoventilation and low SpO2, so they tolerate this low saturation without developing shortness of breath. At the same time, cardiac failure patients are symptomatic at this low SpO2. So, the predominant problem is likely hypoventilation, which may be obstructive or central.
Hello, Welcome to icliniq.com. I read your query and understand your concern. My first possibility remains of gastritis and reflux disease. Stress and anxiety precipitate and aggravate this. The probability of this being cardiac is much less in this age group.
Hello, Welcome to icliniq.com. I have reviewed the attached files (attachments removed to protect the patient’s identity). The clots found in multiple areas of the body primarily originate from the heart, as she is post-mitral valve replacement (MVR) for a heart valve issue. Therefore, appropriate treatment involves anticoagulation or blood thinning. Currently, she is on Dabigatran, which is insufficient and not the recommended anticoagulant for post-MVR patients.
Hi, Welcome to icliniq.com. It can be due to acidity or gastritis. Please mention whether you have upper abdominal pain, bloating, burping, or an increase in pain while taking food, a sour water feeling in your throat, or chest burning. You should avoid having a fatty, oily, and spicy diet. Have a walk after having food.
Hello, Welcome to icliniq.com. So, he did not have any symptoms, and this was detected during routine blood testing, correct? His troponin level is elevated, which indicates he had a heart attack. Patients like this are typically admitted for observation and the administration of medications. We usually recommend admission immediately after a heart attack for five to seven days. However, since that time has already passed, admission is not absolutely necessary, but it is better for him to be admitted for observation, Enoxaparin sodium injections, and angiography.
Hello, Welcome to icliniq.com. I assume that you have blockages in your arteries. If the blockages are in the arteries, they will not migrate to the heart. Instead, they may cause pain while walking, and if severe, they could lead to gangrene. However, if the blockages are in the veins, they can migrate to the heart and lungs.
Hello, Welcome to icliniq.com. Which site are you talking about, and where do you get pain? What are your symptoms? Please explain in detail. In general, these are degenerative changes. This means due to aging; there is wear and tear of the ligaments leading to inflammation and enlargement. Also, there is an enlargement of joints due to arthritis and, subsequently, ligaments.
Hello, Welcome to icliniq.com. I thoroughly read your query and understand your concern. Please tell me the following details so that I can help you with the concern. Did NSTEMIs (non-ST segment elevation myocardial infarction) occur after exertion or at rest? What were the symptoms during NSTEMIs, like transient or prolonged chest pain more than usual? Do you have the reports of cardiac markers done during NSTEMIs? There are two possibilities with the available information, one is that those were not NSTEMIs. Secondly, there was a transient block or myocardial bridge that had caused it.
Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). The only discrepancy seen is that the platelet count is borderline, although not totally abnormal. The rest of your reports are normal, including chloride, which is given in bold letters. Now, this borderline platelet count should be reconfirmed, as sometimes they may be spuriously abnormal due to multiple factors.
Hello, Welcome to icliniq.com. Firstly, it is nothing serious. It is probably a post dengue syndrome. This is nearly present in 25 % patients after dengue. This is some weakness, fatigue, and other symptoms, which usually follows a viral infection and resolves with time.
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