Thoracic Key

Syncope A 3D transesophageal echocardiogram (TEE) (Video 19-1) and M-mode (Fig. 19-1) are shown for a 37-year-old woman with syncope. QUESTION 1. The abnormality shown is: A. Aortic stenosis B….

Fatigue, Weight Loss, and Anorexia The patient is a 37-year-old man with fatigue, a 20-1b weight loss, and worsening anorexia over the past 6 months. Figure 18-1. Figure 18-2. Figure…

Flu with Recent Onset of Congestive Heart Failure The patient is a 36-year-old woman with a history of the flu 6 weeks prior to admission and onset of congestive heart…

Family History of Sudden Cardiac Death A 35-year-old woman with a family history of sudden cardiac death comes for cardiac evaluation (Videos 15-1 to 15-5 and Figs. 15-1, 15-2, 15-3…

End-stage Renal Disease on Hemodialysis The patient is a 35-year-old woman who has a significant past medical history of end-stage renal disease on hemodialysis through a PermCath (Covidien, Mansfield, Massachusetts)…

Congenital Heart Disease A 34-year-old woman is referred for evaluation for congenital heart disease. Figure 14-1A. Figure 14-1B. Figure 14-1C. QUESTION 1. Based on the image provided (Fig. 14-1), the…

AIDS and Pneumocystis Pneumonia A 34-year-old woman with AIDS and a history of Pneumocystis pneumonia presents with shortness of breath and hemoptysis. She is hypoxic and hypotensive on presentation. See…

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…