Clinical question of the week: nausea, vomiting and generalised weakness
A 36 year old Asian male has a chief complaint of nausea/vomiting and generalized weakness. He also endorses muscle cramps and a history of intermittent fevers at home. He is a non-smoker, denies excess alcohol use, and denies substance use.
He has a past medical history of:
• Extra-pulmonary TB
• HIV diagnosed September 2014
On examination of the paient:
• The only physical exam findings of significance are mild tachycardia (HR-110s-120s) and mild hypoxemia (SpO2-92-93%)
Labs:
• Only abnormal test result is creatinine of 1.4
EKG revealed:
Echo was ordered, which revealed:
Questions-
1. What is the diagnosis?
2. How best to treat this?
3. Is there any role for surgery?
Source: Doc2Doc BMJ Cardiology - Category: Cardiology Authors: Heartfelt Source Type: forums