Presentation on theme: "Problem Case – ECG and Breathlessness Dr S Chauhan."— Presentation transcript:
Problem Case – ECG and Breathlessness Dr S Chauhan
A 39 year old lady with a two week history of shortness of breath on mild exertion. What would be the differential diagnosis? What would be the differential diagnosis? What other history do we need? What other history do we need? The only other history of note is that her brother who is 15 years older has been diagnosed as having lung cancer 6 weeks ago.
What initial investigations would you pick from the following and why? 1. None 2. Urine 3. FBC 4. TFT 5. RFT 6. ESR 7. Chest x-ray 8. ECG 9. Other
The Practice that you are working in does not have any venesection facilities or an ECG. What choice of actions do you have? The ECG taken of this lady is shown over the page
Please describe the changes Having seen the ECG changes, what options do you have? Having seen the ECG changes, what options do you have?