60/M presented to the ECHO ROOM referred from Opd with c/o SOB CHEST PAIN, palpitations.
When I got the PLAX view I could see an aneurysm. Interestingly this aneurysm also had a clot which was attached at one end and other end was floating. There was also spontaneous ECHO contrast which indicated blood stasis.A4C gives a better view of the aneurysm and the clot. He also had severe MR & TR.LVEF by Simpsons was just 12%
Here's an an interesting case of Marfan's syndrome admitted to our hospital 27/M presented with SOB CHEST PAIN PALPITATIONS.
here are the images showing a high arched palate, a hyperextensible thumb and arm span >height.
The ECHO image shows aortic root dilatation.
The GYM
Its the boy's favorite retreat The gym in the hostel, People even have religious reasons.
Inside you you will see a large hall with lots if weights lying around there. The Gym smells sweat all through. You get to meet the characters in the gym
There . always be one whos too thin and trying to bulk up and lifting heavy weights
An old man and a middle aged man for maybe b Just éscaping their wife.
The regular one. With awesome physique.he doesnt skip his proteinshake for anything
The lost lover. .who pumps muscle in anguish n despai
One lean guy who thinks that he s a boss
One very fat guy looking at whom the thought came in mind. !'how did he manage to gwt ao fat '
One bulky person who resembles the Arnold in the poster stuckb to walls if the gym
Time is money but in the hostel has different application's. Time means a lost dumbbell machine. People get their own music players n speakers. We get engrossed right since the entry is the dopamine tht rushes through your body makin a Plateau.besides its even good for health. .so if u do continue to do. If u are irregular please regularise. If you don't go just do it. Why deny 1 hr of your time every day in complete solitude? Join a Gym.
Performed echocardiography on my oldest patient so far.Patient was a 95 yr old male admitted for BPH.
INDICATION FOR ECHO : SURGICAL FITNESS
As it turned out the patient had
All valves atherosclerotic and calcified including the Tricuspid which was not unusual considering his age.
There was a mildly dilated RA & RV
MILD TR WITH MILD PAH
GRADE 1 DIASTOLIC DYSFUNCTION
The LV contractility was normal and ejection fraction was normal for his age.
Techicalities apart I asked him the secret of his longevity..
He said wheat n desi ghee were his favorite along with Farm work which he continues till date. He was a stark example that a man is only as old as he thinks he is. And with a strong will power and good exercise and of course being blessed with good genes longevity is not difficult.
Ageing is not in your hands. But how old you feel is definitely the persons outlook.The day we think and say I m too old for this, we have grown old...and age as they say.. is just a number...
