The Apprentice Doctor

Cardiology Case Study

Discussion in 'Case Studies' started by Egyptian Doctor, Dec 15, 2013.

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  1. RafikMakram

    RafikMakram Famous Member

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    Echocardiographu
     

    RafikMakram, Dec 16, 2013
    #101
  2. Dorinka Nel

    Dorinka Nel Famous Member

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    The hx suggest HOCM, but the ECHO is normal. The ECG only shows an R in V1, which may not be significant. With the hx, the pt needs further investigation with a stress ECG followed by a Holter. May have sick-sinus syndrome or a WPW as one can imagine a delta wave in some leads.
     

    Dorinka Nel, Dec 16, 2013
    #102
  3. Verica Čerkezova

    Verica Čerkezova Young Member

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    Brugada
     

    Verica Čerkezova, Dec 16, 2013
    #103
  4. Ilona

    Ilona Guest

    Holter
     

    Ilona, Dec 16, 2013
    #104
  5. ejazmohdkhan

    ejazmohdkhan Young Member

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    WPW
     

    ejazmohdkhan, Dec 16, 2013
    #105
  6. Meenu

    Meenu Well-Known Member

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    sorry, no idea...
     

    Meenu, Dec 16, 2013
    #106
  7. anowihy

    anowihy Famous Member

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    j wave syndrome
     

    anowihy, Dec 16, 2013
    #107
  8. Koy-Hang

    Koy-Hang Young Member

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    seems normal
     

    Koy-Hang, Dec 16, 2013
    #108
  9. orion440

    orion440 Famous Member

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    EKG is absolutely normal,there is no Block or HCM




     

    orion440, Dec 16, 2013
    #109
  10. Raza Ali

    Raza Ali Young Member

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    Needs
    evaluation needed to rule out HOCM and CMRI is more accurate than echo
     

    Raza Ali, Dec 16, 2013
    #110
  11. edvard

    edvard Well-Known Member

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    CLC
     

    edvard, Dec 16, 2013
    #111
  12. Dr.Tripathy

    Dr.Tripathy Bronze Member

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    wnl
     

    Dr.Tripathy, Dec 16, 2013
    #112
  13. yousif

    yousif Young Member

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    WPW syndrome
     

    yousif, Dec 16, 2013
    #113
  14. Fikhri Hushairy

    Fikhri Hushairy Well-Known Member

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    Left ventricular hypertrophy
     

    Fikhri Hushairy, Dec 16, 2013
    #114
  15. Cicala Ecaterina

    Cicala Ecaterina Famous Member

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    There is a small delta wave, but i'm not really sure about WPW

    i don't see Brugada here. sokolow-lyon is < than 35mm so i don't think it's LVH, but echocardio could be useful
     

    Cicala Ecaterina, Dec 16, 2013
    #115
    Maher Mufid El-Khalidi likes this.
  16. Mike Oak

    Mike Oak Young Member

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    Both the EKG and echo have ruled out cardiomyopathy. I would still evaluate for anemia, hypothyroidism, etc. but my greatest concern is ruled out.
     

    Mike Oak, Dec 16, 2013
    #116
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  17. Siamak Keihani

    Siamak Keihani Famous Member

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    excersize test
     

    Siamak Keihani, Dec 16, 2013
    #117
  18. Anood

    Anood Young Member

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    LVH ,,, but no WPW ( no delta wave ! )
     

    Anood, Dec 16, 2013
    #118
  19. Robertas

    Robertas Well-Known Member

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    holter monitoring
     

    Robertas, Dec 16, 2013
    #119
  20. ainbahori

    ainbahori Young Member

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    peaked t wave hyperkalemia.. check for potassium level and kidney function???
     

    ainbahori, Dec 16, 2013
    #120
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