cardiology morning presentation 2 im1962012
DESCRIPTION
ECG, ECHO, CXR, Hyperkalemia, tamonadecardiology cases in PPT FormatTRANSCRIPT
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Cardiology Morning presentation 2 IM
Dr Ihab Suliman
MBBS, ECFMG, CBNC,MRCP,AB Card
22/6/2012
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Case 1
• 59 years old saudi male came through ER with SOB class 3- 4, feeling unwell .
• He is DM , HTN , DLP.
• Recent CABG
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Case 1 ECG A
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• Low Limb Leads ECG ,NSR, Electrical elternanus ,Recent Anterior MI
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Case 1 ECG B
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CXR 14/6/2012
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• Portable CXR of severe cardiomegally.
• There are important 3 differentials
• 1-Pericardial effusion
• 2-Multivalvualr lesions
• 3-severe DCM
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• Inverted View CXR showing severe cardiomegally but clear lung fields
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CXR 4/6/2012
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• 2 weeks earlier CXR on discharge from cardiac surgery ward showing some cardiomegally and mild bilateral pleural effusions ,this is expected following CABG
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Cardiac Enzymes within NL
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PE
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• Large Pericardial effusion mainly posterior
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• CXR much less cardiomegally after pericardial drain , peg tail still inside
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Case 2
• 25 years old known case of marfan’s syndrome came with SOB, and chest pain
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• Severe Cardiomegally .
• In this cas there was Dilated Aorta root
• Plus severe DCM the patient had marfan syndrome
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• Severe DCM Plus severe aorta dilatation plus dissection flap.
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Case 3
• 62 years old male with Acute severe SOB.
• Known HTN
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• Mild cardiomegally plus mild right hilar congestion
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• Mild to moderate AR + MR + mild pericardal effusion
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• Sclerotic aortic valve
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• 78 yrs old male patient came with severe central chest pain increases with respiration
• Known diabetic and hypertensive with chronic kidney disease
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• ECG of Hyperkalemia plus LVH characteristic finding in Renal failure patients