Sandbox: Ifeoma: Difference between revisions
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | − | | style="background: #F5F5F5; padding: 5px; text-align: center;" | − | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* | * Echocardiography | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* It is associated with migraine headache and decompression sickness in divers | * It is associated with migraine headache and decompression sickness in divers | ||
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| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Systolic flow murmur in the upper left sternal border | * Systolic flow murmur in the upper left sternal border | ||
* Wide, fixed splitting of S2 | * Wide, fixed splitting of S2 | ||
* Diastolic flow rumble across the tricuspid valve | * Diastolic flow rumble across the tricuspid valve | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px; text-align: center;" | +/− | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Hypermobile interatrial septum | * Hypermobile interatrial septum | ||
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* Continuous machine-like murmur | * Continuous machine-like murmur | ||
| style="background: #F5F5F5; padding: 5px;" |- | | style="background: #F5F5F5; padding: 5px;" |- | ||
| style="background: #F5F5F5; padding: 5px;" |May be present by progressing | | style="background: #F5F5F5; padding: 5px;" | | ||
* May be present by progressing | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Golden standard | * Golden standard | ||
* Used to classify the degree of the duct | * Used to classify the degree of the duct | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Non specific | * Non-specific | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Used for Krichenko classification | * Used for Krichenko classification | ||
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|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Aortic stenosis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Aortic stenosis | ||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" |+ | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Crescendo-decrescendo mid-systolic (or ejection systolic) murmur | |||
| style="background: #F5F5F5; padding: 5px;" |+/- | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Depending on severity | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Used for finding the location of stenosis | |||
* Finding severity | |||
* Evaluating the flow jet | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Non-specific at the beginning | |||
* At progressed stage calcification of the valve and cardiomegally | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Evaluating calcification core | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* MRI | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* MRI provides a more detailed structural and dynamic assessment of the aortic valve and left ventricle, in particular | |||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pulmonary stenosis | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Pulmonary stenosis | ||
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* Right atrial hypertrophy | * Right atrial hypertrophy | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* | * Non-specific | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
* Direct visualization of stenosis | * Direct visualization of stenosis |
Revision as of 15:19, 20 February 2020
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examination | ||||||||||
Imaging | |||||||||||
Exertional dyspnea | Failure to thrive | Recurrent respiratory infections | Murmur on auscultation | Peripheral edema | Clubbing | Echocardiography | Chest x-ray | Cardiac CT | |||
Patent foramen ovale | − | − | − | − | − | − |
|
Non specific | − |
|
|
Atrial septal defect | +/− | +/− | +/− |
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+/− | +/− |
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|
|
||
Ventricular septal defect | -/+ | -/+ | After Eisenmenger syndrome |
|
-/+ | -/+ |
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Diseases | Exertional dyspnea | Failure to thrive | Recurrent respiratory infections | Murmur on auscultation | Peripheral edema | Clubbing | Echocardiography | Chest x-ray | Cardiac CT | Gold standard | Additional findings |
Patent ductus arteriosus |
|
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- |
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- |
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Coarctation of the aorta | |||||||||||
Aortic stenosis | + | + | + |
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+/- |
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Pulmonary stenosis | *Depending on severity | - | -/+ |
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- | -/+ |
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Diseases | Pathophysiology | Shunt | Symptoms | Diagnosis | Echocardiography findings | Physical examination | Treatment | Complications |
---|---|---|---|---|---|---|---|---|
Patent foramen ovale |
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Atrial septal defect |
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Pulmonary ateriovenous fistula |
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- Patent foramen ovale may be classified anatomically according to the shape of the tunnel using a real time 3-dimensional transesophageal echocardiography (RT3D-TEE). It is classified based on the minimum overlap of the septum primum and septum secundum under valsalva maneuver.
- The table below shows the different tunnel types:
Patent Foramen Ovale Tunnel Type | Description |
---|---|
Type 1 |
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Type 2 |
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Type 3 |
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Diseases | Anatomy | Shunt | Symptoms | Physical Education | Diagnosis | Treatment | Complications |
---|---|---|---|---|---|---|---|
Type 1 |
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Type 2 |
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Type 3 |
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