Unusual Complication of Pneumonia

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]

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]

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]

[object Object],[object Object],[object Object],[object Object]

[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]

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]

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]

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]

Unusual Complication of Pneumonia

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Unusual Complication of Pneumonia