Cardiovascular spotting TEST
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Transcript of Cardiovascular spotting TEST
![Page 1: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/1.jpg)
![Page 2: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/2.jpg)
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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
![Page 4: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/4.jpg)
CASE 2
![Page 5: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/5.jpg)
•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)
![Page 6: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/6.jpg)
CASE 3
![Page 7: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/7.jpg)
•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)
![Page 8: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/8.jpg)
CASE 4
![Page 9: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/9.jpg)
•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)
![Page 10: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/10.jpg)
![Page 11: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/11.jpg)
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
![Page 12: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/12.jpg)
![Page 13: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/13.jpg)
•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)
![Page 14: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/14.jpg)
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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
![Page 16: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/16.jpg)
CASE 8
![Page 17: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/17.jpg)
•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)
![Page 18: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/18.jpg)
![Page 19: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/19.jpg)
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
![Page 20: Cardiovascular spotting TEST](https://reader034.fdocuments.in/reader034/viewer/2022052601/55938c181a28ab0c6b8b4790/html5/thumbnails/20.jpg)
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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