Thoracic insufficiency syndrome with cor pulmonale in an adult

摘要

A 45-year-old housewife, presented with gradual onsetdysnoea on exertion over 3 months and oedema of feet since15 days. Her general examination revealed a pulse of 102/min, RR 24/min (abdomino-thoracic), BP 134/80 mm of Hg,JVP 12 cms, with prominent 'a' waves and bilateral pittingoedema of feet. CVS examination was normal. RS examinationrevealed bilateral diminished chest wall movement of 3 cms.Trachea was central. Auscultation revealed bilateraldiminished air entry, vescicular breath sounds bilaterally, andfew scattered fine crepts. Per abdominal examinationrevealed hepatomegaly