Thursday, July 24, 2025

28M Retro orbital pain, Myalgia Telangana PaJR

 

24-07-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[24-07-2025 12.58] PPM 1: OPD 27M 
Frequent visitor and patient advocate to other patients, Has been consuming alcohol 24x7 for once a month since 8 years of his mother's death.
Last month consumed non stop for 10 days with some idly once in two days and developed severe retro orbital pain and lacrimation along with myalgia!
On examination:
Apex RV type and grade 3 parasternal heave. No raised JVP or pedal edema
ECG attached.

Suggesting cardiomegaly, LVH and pulmonary hypertension

Even the echocardiography calculated pulmonary pressures (although not reliable) are suggesting severe PAH, which is above 50 and his has been calculated as 56
[24-07-2025 15.17] PPM 1: https://youtube.com/shorts/f5P7HF3cjW8?si=uyqjxF4uGkuINlpU
                                                                        Chest X ray
[24-07-2025 15.24] PPM 1: Suggesting cardiomegaly, LVH and pulmonary hypertension
Even the echocardiography calculated pulmonary pressures (although not reliable) are suggesting severe PAH, which is above 50 and his has been calculated as 56




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