A well-respected Pulmonologist only has positive words for 𝗖𝗮𝗥𝗗𝗜𝗮𝗥𝗧 𝗘𝗹𝗲𝗰𝘁𝗿𝗼𝗻𝗶𝗰 𝗦𝘁𝗲𝘁𝗵𝗼𝘀𝗰𝗼𝗽𝗲 𝗗𝗦𝟭𝟬𝟭 who ordered from akinto.shop. Auscultation is a key diagnostic technique used by pulmonologists to evaluate the health and function of the respiratory system. Pulmonologists listen to sounds to gather valuable information about the condition of the lungs and airways. With the aid of 𝗖𝗮𝗥𝗗𝗜𝗮𝗥𝗧 𝗘𝗹𝗲𝗰𝘁𝗿𝗼𝗻𝗶𝗰 𝗦𝘁𝗲𝘁𝗵𝗼𝘀𝗰𝗼𝗽𝗲 𝗗𝗦𝟭𝟬𝟭, pulmonologists and physicians alike can excellently perform clinical assessment, gather important diagnostic information and provide optimal care for their patients.
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A 40-year-old CP female presented to the Emergency Department complaining of increase shortness of breath and respiratory distress. Past medical history was unknown. Physical examination: revealed blood pressure of 140/90 mmHg, heart rate of 70 bpm, respiratory rate of 22 per minute, O2 sat of 66% on room air, and temperature of 37°C. There were internal jugular vein distention & regular heart sounds EKG: confirmed right atrial enlargement (pulmonale P) and right ventricle hypertrophy with right axis deviation. There were RBBB and RVH pattern,inverted precordial T waves. CXR: prominent pulmonary artery and some congestion with cardiomegaly. Echo: showed high SPAP, RVH , RV & RA enlargement Laboratory data were remarkable for : Hb : 19.8 with low serum iron and ferritin K: 5.6 , Cr: 1 and other normal data. Treated with IV furosemide as dieuretic and oxygen therapy to stabilize. Low dose and slow infusion serum therapy after decongestion. Phlebotomy could not be done because of low ferritin to treat polycitemia. Referred to heart center for RHC and other subspecialty procedures to find the cause of pulmonary HTN.
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