Thoracic Key

Shortness of Breath and Dyspnea on Exertion A 33-year-old man from India complains of shortness of breath and dyspnea on exertion (DOE) walking one to two blocks. On an exercise…

Dyspnea on Exertion A 32-year-old man complains of dyspnea on exertion. He also has acroparathesias, anhidrosis, and normal blood pressure. His father has renal disease. His electrocardiogram (Fig. 10-1) and…

Marfan Syndrome A 32-year-old man with Marfan syndrome has a screening transthoracic echocardiogram performed (Fig. 11-1). Figure 11-1. QUESTION 1. At what diameter should a patient with Marfan syndrome be…

Left-Sided Hemiparesis A 31-year-old woman presented with sudden onset of left-sided hemiparesis. A cardiogenic embolic stroke was suspected and transthoracic echocardiography was performed; Video 9-1 and Figure 9-1 show a…

Episode of Hemoptysis A 28-year-old man with a history of childhood surgery for congenital heart disease presents following an episode of hemoptysis. He reports a mild decline in his exercise…

Dizziness and Near Syncope A 27-year-old woman complains of dizziness and near syncope. See Figures 6-1, 6-2 and 6-3. Figure 6-1. Figure 6-2.

Weakness and Malaise The patient is a 26-year-old woman who has had weakness and malaise for 1 to 2 months. She has a past history of congenital heart disease, and…

Increasing Shortness of Breath A 25-year-old medical student had a 6-month history of increasing shortness of breath. Since childhood, he was less physically fit than his classmates, but this was…

Aortic Stenosis after a Modified Ross Procedure The patient is a 23-year-old man with a history of aortic stenosis, status post modified Ross procedure at age 9, complicated by complete…