By M.D. Luthra Atul, JPS Sawhney
This e-book offers postgraduate trainees with 50 actual scientific cardiology situations. Divided into fourteen sections, a number of situations are provided lower than every one classification overlaying numerous problems of the cardiac process, together with congenital middle illnesses, aortic valve illnesses, pulmonary illnesses, ECG abnormalities, cardiac arrhythmias, coronary artery affliction and lots more and plenty extra. starting with a quick historical past and findings in keeping with actual exam, each one case then contains analytical dialogue on bedside investigations and suggestions for therapy. Authored via a acknowledged professional within the box, this useful ebook is very illustrated with echocardiographic, radiographic and electrocardiographic information. Key issues offers 50 genuine medical cardiology circumstances Covers a number of problems of the cardiac process Authored by means of regarded heart specialist comprises greater than 217 pictures, illustrations and tables
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Extra info for 50 cases in clinical cardiology : a problem solving approach
A different soft systolic murmur was heard over the cardiac apex that radiated towards the left axilla. The lung fields were clear on auscultation. CLINICAL DISCUSSION From the history and physical examination, this elderly hypertensive gentleman had aortic root dilatation, with probably left ventricular outflow tract (LVOT) obstruction and also mitral regurgitation. ECG showed tall R waves with inverted T waves in the lateral precordial leads (Fig. 1). There were no significant Q waves or S-T segment shift, but few unifocal ventricular premature beats were observed.
X-ray chest finding was an enlarged cardiac silhouette, more so towards the right of the midline. ECHO revealed normal sized left ventricle with normal ejection fraction. The mitral and aortic valves were normal and the left atrium was not dilated. There was no echo drop-out in the region of either septum. However, the right atrium was markedly enlarged and the right ventricle was dilated as well as hyperkinetic. The tricuspid valve was displaced downwards into the right ventricle, with distal attachment of the septal tricuspid leaflet which showed 16 Section 1 Congenital Heart Diseases exaggerated excursion.
1). 1: Clinical signs of aortic regurgitation • Corrigan sign: Vigorous pulsations in the carotid vessels • De Musset sign: Nodding of the head with each heart beat • Quincke sign: Visible capillary pulsations in the nail bed • Traube sign: Pistol-shot sounds over femoral arteries • Duroziez sign: Diastolic murmur over femoral arteries ECG of the patient showed tall R waves in left precordial leads with upright T waves indicating left ventricular diastolic overload. X-ray chest findings were cardiomegaly and pulmonary congestion, giving it a “bat-wing” appearance (Fig.
50 cases in clinical cardiology : a problem solving approach by M.D. Luthra Atul, JPS Sawhney
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