An 18 years female complaining of breathlessness fainting and tingling sensation over lips. She has history of similar episodes in past. What is the diagnosis
Answer- D. HyperventilationTingling around mouth (over lips) is seen in hyperventilation due to hypocalcemia.Symptoms of hyperventilation include-Abdominal symptoms (due to swallowing of excess air): bloating, burping, excessive flatusCNS symptoms (due to dcrease PCO2): weakness,fainting confusion, dizziness, restlessness, anxiety, panic attack.Due to hypocalcemia: numbness & tingling around mouth & in limbs, corpopedal spasm, muscle twiching, tetanyChest symptoms : chest pains, shoness of breath & breathlessness, wheezing, tachypnea.
Myocardial infarction
ARDS
Upper respiratory tract infection
Hyperventilation