Cardiovascular spotting TEST

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Transcript of Cardiovascular spotting TEST

Page 1: Cardiovascular spotting TEST
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Investigation. Brachiocephalic angiogram 01

Catheter in arch of aorta ---- 01

findings

Right sided cervical rib --- 02

Mild narrowing of the right subclavian artery 02

Diagnosis. Thoracic outlet syndrome ----- 03

Next– EMG ( electromyography)/ CT angio ---- 01

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CASE 2

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•X-ray chest PA view of a child (01)

•Enlarged heart (02)

•Sharp margins (01)

•No specific chamber enlargement (01)

•Lungs ------ clear (02)

•Diagnosis: - Pericardial effusion (02)

•Advised: - Echocardiography (01)

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CASE 3

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•X-ray chest PA view of adult male patient (01)

•Cardiac shadow enlarged with smooth bulge along left

ventricular border (02)

•Main pulmonary and aorta ---- Normal (01)

•Lungs ------ Normal (01)

•Diagnosis: - Left ventricular Aneurysm (03)

•Diffrential diagnosis ; pericardial cyst. Hydatid cyst (01)

•Advised: - Echocardiography (01)

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CASE 4

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•X-ray chest PA view of adult male patient (01)

•Enlarged aortic arch on left side (02)

•Prominent ascending aorta (02)

•Bilateral inferior rib notching (02)

•Diagnosis: - Coarctation of aorta (02)

•Advised: - CT / MRI (01)

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Chest xray of a child ---01.

Findings

Central venous line on the left side– 02

Right sided pneumothorax ----- 01

ETT --- 01

N/G tube in stomach ------ 01

Sternotomy sutures------ 01

Diagnosis ---- left sided SVC with pneumothorax -02

Next --- echo 01

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•X-ray chest PA view of adult male patient (01)

•Enlarged main pulmonary artery (01)

•Enlarged hilar vessels (01)

•Cardiomegaly (01)

•Hyperinflated, hypertransradiant lungs with flat diaphragm (02)

•Diagnosis: - Pulmonary arterial hypertension secondary to

COPD (03)

•Advised: - Echocardiography

(01)

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Investigation. DSA arch aortogram ----02

Findings.

Multifocal areas of stricturing and narrowing of all the major branches of arch of aorta at –03

Complete occlusion of right subclavian –01

Collaterals --- 01

Diagnosis --- takayasu arteritis 02

D. Diagnosis – atherosclerosis 01

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CASE 8

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•X-ray chest AP view of a child (01)

•Double-density shadow (02)

•Splaying of the carina (02)

•Strightening of left heart border (01)

•Upper lobe blood diversion (01)

•Diagnosis: - Mitral valve disease (02)

•Advised: - Echocardiography

(01)

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Investigation

CT chest with contarst mediastinal window---- 01

Findings.

Dense pericardial calcification --- 03

No pericardial effusion --- 01

Lungs --- clear – 01

Diagnsois – constrictive pericarditis 03

Next-- echo --- 01

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Investigation CT scan chest and upper abdomen soft tissue window. --01Findings Dilated azygos vein in its whole length ---- 02 Draining into the SVC --- 02 Heart normal – 01Diagnosis; azygos continuation of IVC --- 02D. Diagnosis --- 02 Right sided aortic arch Enlarged L.N Obstruction of SVC and IVC