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Challenge your knowledge- solve this real-life case with a Cardiology expert- Part 1

M3 India Newsdesk Oct 14, 2020

Are you ready for the challenge? Study the real-life case and answer the questions. Get your responses evaluated from the expert.

Type your answers in the boxes below the questions.Professor Sundeep Mishra will share comments as the case progresses. Stay tuned! 

For our comprehensive coverage and latest updates on COVID-19 click here.

Are you up for a new challenge?  

Study this real-life case and share your responses to the questions below. The responses will be assessed by our expert and a commentry will be shared on completion of the case. Given below is the first part of this 3-part case description. The next part will be published on 21.10.20

Part 1

Case scenario- Fifteen year-old girl

Presenting complaints
  • Dyspnoea on exertion 3 weeks earlier, NYHA Class III → Class IV
  • No h/o fever, No h/o chest pain
  • BP: 90 /60 mmHg, pulse pressure: 30
  • PR: 104/minute, weak
  • RR: 24/min
  • SpO2: 92% on room air
General Physical Examination
  • CVS: S1+ S2+  LVS3+, No murmurs ausculatated
  • Chest: Bilateral basal crepitations present




Routine lab investigations
Hb 9
TLC 10300
PLT 2.1L
DLC 71/20
INR/aPTT 1.3
Na 130
K 3
Urea 31
Creatinine 0.6
BIL 0.6
SGOT/SGPT 151/261
Protein/albumin 6,5/3/3
Ca/P 8.6/3.3
Special investigations
Troponin 0.15
BNP 8270
T3 74
T4 8
TSH 7.73
HIV/HbsAg/Anti HCV Non-reactive

This is a special, real-life case series in Cardiology.

To see the next part of the case, click here.


Disclaimer- The views and opinions expressed in this article are those of the author's and do not necessarily reflect the official policy or position of M3 India.

The author, Dr. Sundeep Mishra is a Professor of Cardiology.

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