By Atul Luthra, J. P. S. Sawhney
The second one variation of information & tips in Bedside Cardiology offers fifty four medical instances that physicians may perhaps stumble upon in day-by-day perform. every one case is gifted in a step-by-step structure starting with a quick description of the criticism, background taking, and actual exam, through extensive dialogue on analysis. every one case concludes with a field of key medical issues. This totally revised new version positive aspects a variety of prime quality ECG strips, X-ray movies and ECHO photographs, in addition to specified illustrations. a photograph CD ROM is usually integrated. Key issues * new version featuring fifty four medical cardiology instances * step-by-step structure for every case * Key scientific issues summarised in each one bankruptcy * beneficial properties various ECG strips, X-ray motion pictures, ECHO photos and designated illustrations * comprises picture CD ROM * past version released in 2010
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Additional info for Tips and Tricks of Bedside Cardiology
In calcific AS, the process starts with calcification of the annulus and progresses medially to involve the leaflets. In bicuspid aortic valve, calcification is observed only in the late stages of aortic valve stenosis. • In valvular stenosis,there is reduced excursion of aortic leaflets with restricted opening of the aortic valve. Due to fusion at the leaflet tips and free motion of the leaflet bodies, there is systolic doming. This is a characteristic feature of rheumatic AS. Leaflet excursion is normal in a bicuspid aortic valve unless it is heavily calcified.
It was not retrosternal in location, there was no suffocation or choking and the pain did not radiate to the lower-jaw or left arm. • There was neither a complaint of dizziness or light-headedness nor a history of fainting spells. • There was no history of recurrent sore throat or joint-pains in childhood and she had never received monthly injections of penicillin. Physical Examination • • • • • • Anxious, slightly tachypneic, not in distress. No anemia, cyanosis, jaundice or edema. Extremities warm, palms sweaty, mild tremor.
6 Case Sudden Chest Pain & Continuous Murmur Patient Profile Age: 27 Sex: Male Built: Muscular Chief Complaints • Sudden onset of severe chest pain and dyspnea after lifting a heavy weight, followed by fainting and fall on the floor. Relevant History • Patient was a manual worker in a construction company, whose job involved frequent bouts of isometric exercise and regular physical exertion. He had always been in good health and never had such symptoms in the past. • There was no previous history of exertional fatigue, chest pain or shortness of breath and he rode a bicycle to work everyday.