cardiovascular spotting test
DESCRIPTION
Don't look at the answers solve it your selfTRANSCRIPT
Investigation. Brachiocephalic angiogram 01
Catheter in arch of aorta ---- 01
findings
Right sided cervical rib --- 02
Mild narrowing of the right subclavian artery 02
Diagnosis. Thoracic outlet syndrome ----- 03
Next– EMG ( electromyography)/ CT angio ---- 01
CASE 2
•X-ray chest PA view of a child (01)
•Enlarged heart (02)
•Sharp margins (01)
•No specific chamber enlargement (01)
•Lungs ------ clear (02)
•Diagnosis: - Pericardial effusion (02)
•Advised: - Echocardiography (01)
CASE 3
•X-ray chest PA view of adult male patient (01)
•Cardiac shadow enlarged with smooth bulge along left
ventricular border (02)
•Main pulmonary and aorta ---- Normal (01)
•Lungs ------ Normal (01)
•Diagnosis: - Left ventricular Aneurysm (03)
•Diffrential diagnosis ; pericardial cyst. Hydatid cyst (01)
•Advised: - Echocardiography (01)
CASE 4
•X-ray chest PA view of adult male patient (01)
•Enlarged aortic arch on left side (02)
•Prominent ascending aorta (02)
•Bilateral inferior rib notching (02)
•Diagnosis: - Coarctation of aorta (02)
•Advised: - CT / MRI (01)
Chest xray of a child ---01.
Findings
Central venous line on the left side– 02
Right sided pneumothorax ----- 01
ETT --- 01
N/G tube in stomach ------ 01
Sternotomy sutures------ 01
Diagnosis ---- left sided SVC with pneumothorax -02
Next --- echo 01
•X-ray chest PA view of adult male patient (01)
•Enlarged main pulmonary artery (01)
•Enlarged hilar vessels (01)
•Cardiomegaly (01)
•Hyperinflated, hypertransradiant lungs with flat diaphragm (02)
•Diagnosis: - Pulmonary arterial hypertension secondary to
COPD (03)
•Advised: - Echocardiography
(01)
Investigation. DSA arch aortogram ----02
Findings.
Multifocal areas of stricturing and narrowing of all the major branches of arch of aorta at –03
Complete occlusion of right subclavian –01
Collaterals --- 01
Diagnosis --- takayasu arteritis 02
D. Diagnosis – atherosclerosis 01
CASE 8
•X-ray chest AP view of a child (01)
•Double-density shadow (02)
•Splaying of the carina (02)
•Strightening of left heart border (01)
•Upper lobe blood diversion (01)
•Diagnosis: - Mitral valve disease (02)
•Advised: - Echocardiography
(01)
Investigation
CT chest with contarst mediastinal window---- 01
Findings.
Dense pericardial calcification --- 03
No pericardial effusion --- 01
Lungs --- clear – 01
Diagnsois – constrictive pericarditis 03
Next-- echo --- 01
Investigation CT scan chest and upper abdomen soft tissue window. --01Findings Dilated azygos vein in its whole length ---- 02 Draining into the SVC --- 02 Heart normal – 01Diagnosis; azygos continuation of IVC --- 02D. Diagnosis --- 02 Right sided aortic arch Enlarged L.N Obstruction of SVC and IVC