Mitral Stenosis
Protocols
Clinical Features:
- 1)Palpiatation
- 2)Cough
- 3)Hemoptysis
- 4)Fatigue
- 5)Breathlessness on excertions
O/E:
- 1)Mitral Facies
- 2)Left parasternal heave
- 3)palpable p2
- 4)Loud 1st heart sound
- 5) Mid diastolic murmur
Investigations:
1) ECG-
- P mitrale
- Tall R in V1-V3
- AF
2)CXR PA View
- straightening of leff border of heart
- signs of pulmonary congestion
3) Echo
- Reduce valve area
- enlarge left atrium
Rx:
1.Tab.[post id="424" title="Phenoxymethyl-Penicillin"] (Pen VK)250mg...1+0+1....10 days
If Heart Failure :
Tab.[post id="478" title="Frusemide"](lasix) 40 mg
1+1+0....15 days
If AF:
1. Tab.[post id="874" title="Metoprolol"](50 mg)...1+0+1 ...conyinue
2. Tab.Rivaroxaban(Rivarox) 10 mg ...0+0+1(A/M)