Ventricular Septal Defect

Jul 10, 2016 by in CARDIOLOGY Comments Off on Ventricular Septal Defect

Fig. 25.1 Grade 2 LLSB crescendo/decrescendo murmur after S1 The murmur increases to grade 4 with exertion. No ejection clicks noted. No diastolic murmurs are present. Test Results An electrocardiogram…

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Mitral Valve Prolapse

Jul 10, 2016 by in CARDIOLOGY Comments Off on Mitral Valve Prolapse

Fig. 13.1 Graphic depiction of the mid-systolic click followed by a high pitched murmur as seen with mitral valve prolapse. Since the murmur is due to regurgitation, the most effective…

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The S4 Gallop

Jul 10, 2016 by in CARDIOLOGY Comments Off on The S4 Gallop

Fig. 19.1 This 12 lead EKG tracing demonstrates a heart in normal sinus rhythm. There is possible inferolateral ischemia demonstrated by the T wave inversions in II, III, and AVF…

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Pulmonic Valve: Pulmonic Stenosis

Jul 10, 2016 by in CARDIOLOGY Comments Off on Pulmonic Valve: Pulmonic Stenosis

Fig. 15.1 Auscultation of pulmonic stenosis. Pulmonic stenosis is characterized by an ejection click, crescendo decrescendo murmur loudest at the left sternal border, and sharp, narrowly split S2 Test Results…

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Prosthetic Heart Valves

Jul 10, 2016 by in CARDIOLOGY Comments Off on Prosthetic Heart Valves

Fig. 21.1 Cardiac auscltation findings for a 60 year old female presenting with chest pain and a history of rheumatic heart disease A loud, crisp mitral closing click and a…

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The S3 Gallop

Jul 10, 2016 by in CARDIOLOGY Comments Off on The S3 Gallop

Fig. 18.1 A representative EKG significant for Q waves in the lateral precordial leads and an ST elevation in V4 An echocardiogram (Fig. 18.2) was consistent with finding of an…

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Pericardial Constriction

Jul 10, 2016 by in CARDIOLOGY Comments Off on Pericardial Constriction

Fig. 20.1 EKG demonstrating sinus rhythm and low voltage QRS consistent with pericardial thickening Chest CT (Fig. 20.2). CT scan of the chest in a patient with constrictive pericarditis demonstrates…

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Aortic Stenosis

Jul 10, 2016 by in CARDIOLOGY Comments Off on Aortic Stenosis

Fig. 5.1 Representation of the patient’s auscultation exam. A systolic crescendo-decrescendo murmur grade 3 and diastolic decrescendo murmur grade 1 is present. S1 normal, however the aortic component of the…

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Bicuspid Aortic Valve

Jul 10, 2016 by in CARDIOLOGY Comments Off on Bicuspid Aortic Valve

Fig. 6.1 Diagram of the patient’s auscultation findings including a prominent ejection click, a diastolic crescendo decrescendo murmur and systolic decrescendo murmur Test Results Electrocardiogram is normal (Fig. 6.2). Fig….

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Pulmonic Valve: Pulmonary Arterial Hypertension

Jul 10, 2016 by in CARDIOLOGY Comments Off on Pulmonic Valve: Pulmonary Arterial Hypertension

Fig. 16.1 Echocardiogram. Echocardiogram (apical 4 chamber view) shows an enlarged right ventricle with significant tricuspid regurgitation Fig. 16.2 Electrocardiogram. Electrocardiography shows a right bundle branch block with a right…

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