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…
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…
Atrial Fibrillation A 30-year-old man with atrial fibrillation presents with the echocardiogram in Video 8-1. QUESTION 1. What is his underlying congenital abnormality? A. Ebstein’s anomaly B. Tetralogy of Fallot…
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.
