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what is your diagnosis ?
Published on 2014-06-22 by Elie Chammas
History and Findings

A 52 y old Iraqi man was admitted to the hospital for dyspnea and lower extemety edema. He is Diabetic on insulin and oral hypoglycemics, hypertensive treated with a combination of ARB and Thiazide diuretic, dyslipidemic on Rosuvastatin.

He had chronic renal failure with renal transplantation 4 years ago in India.

He started to have chest pain, dsypnea, lower extremety edema and increase in weight since 3 months. A work up done in Iraq showed a creatinine level at 3,3 mg/dl, ECG: Sinus rythm with LVH, Cardiac echo EF 50-55%, Modertae concentric LVH, Elevated right-sided pressures at 45 mm Hg of PASP. A cardiac cath done in Baghdad revealed non significant CAD

On admission, he was dyspneic with regular tachycardia. The lungs were clear with  lower extremety edema and hepatomagaly. ECG: Sinus tachycardia with LVH. Chest x ray: cardiomegaly with clear lungs. The creatinine level was 4,6 mg/dl. An echocardiogram  revealed concentric LVH, the speckle tracking bull's eye imageis shown below.

What is your diagnosis ?

The answer and discussion will be will be posted next week.

video 1
Latest Comments
Acepahmadfauzi reply on 2018-03-14
Obat esofagitis Obat Telapak Kaki Panas Obat otot leher tegang Obat ITP pada Anak Obat Parotitis
makah reply on 2017-12-11
مكه لخدمات التنظيف شركه عزل أسطح بالطائف شركه رش مبيدات بالطائف شركه مكافحه حشرات بالطائف شركه تنظيف كنب بالطائف شركه تنظيف مجالس بالطائف شركه تنظيف فلل بالطائف شركه تنظيف خزانات بالطائف شركه تنظيف بالطائف شركه عزل خزانات بالطائف
sama reply on 2017-12-11
سما للخدمات شركه تنظيف بالطائف شركه تنظيف خزانات بالطائف شركه تنظيف مجالس بالطائف شركه تنظيف موكيت بالطائف شركه تنظيف منازل بالطائف شركه تنظيف شقق بالطائف شركه رش مبيدات بالطائف شركه مكافحه حشرات بالطائف شركه تنظيف مسابح بالطائف شركه عزل اسطح و خزانات بالطائف شركه نقل عفش بالطائف
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