posted in Medisage Internal Medicine Community
A 51 year male hypothyroid , tobacco chewer hailing from hyderabad came with dyspnea class4 NYHA, orthopnea , PND, bipedal edema AND facial puffiness With low volume pulse , raised jvp in general examination .Apical impulse in 5th ICS 1.5cm lateral to MCL , with grade 2 parasternal heave and prominent epigatric pulsations with pansystolic murmurs in tricuspid and mitral areas with MDM murmur in tricuspid area and with wide fixed splitting of second heart sound. What will be the probable diagnosis and management ?
- #general medicine
- #cardiology
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Dr. U N Sahoo
General Medicine Specialist
· Bhubaneswar
The likely diagnosis for this case is severe mitral and tricuspid valve regurgitation secondary to severe pulmonary hypertension, possibly caused by chronic hypothyroidism and toba ...read more