Cardiology Morning  presentation 2 IM       Dr Ihab SulimanMBBS, ECFMG, CBNC,MRCP,AB             Card          22/6/2012
Case 1• 59 years old saudi male came through ER  with SOB class 3- 4, feeling unwell .• He is DM , HTN , DLP.• Recent CABG
Case 1   ECG A
• Low Limb Leads ECG ,NSR, Electrical  elternanus ,Recent Anterior MI
Case 1   ECG B
CXR14/6/2012
•   Portable CXR of severe cardiomegally.•   There are important 3 differentials•   1-Pericardial effusion•   2-Multivalvu...
• Inverted View CXR showing severe  cardiomegally but clear lung fields
CXR4/6/2012
• 2 weeks earlier CXR on discharge from  cardiac surgery ward showing some  cardiomegally and mild bilateral pleural  effu...
Cardiac Enzymes within NL
PE
• Large Pericardial effusion mainly posterior
• CXR much less cardiomegally after  pericardial drain , peg tail still inside
Case 2• 25 years old known case of marfan’s  syndrome came with SOB, and chest pain
• Severe Cardiomegally .• In this cas there was Dilated Aorta root• Plus severe DCM the patient had marfan  syndrome
• Severe DCM Plus severe aorta dilatation  plus dissection flap.
Case 3• 62 years old male with Acute severe  SOB.• Known HTN
• Mild cardiomegally plus mild right hilar  congestion
• Mild to moderate AR + MR + mild  pericardal effusion
• Sclerotic aortic valve
• 78 yrs old male patient came with severe  central chest pain increases with  respiration• Known diabetic and hypertensiv...
• ECG of Hyperkalemia plus LVH  characteristic finding in Renal failure  patients
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
Cardiology morning presentation 2 im1962012
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Cardiology morning presentation 2 im1962012

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ECG, ECHO, CXR, Hyperkalemia, tamonade
cardiology cases in PPT Format

Published in: Health & Medicine
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Cardiology morning presentation 2 im1962012

  1. 1. Cardiology Morning presentation 2 IM Dr Ihab SulimanMBBS, ECFMG, CBNC,MRCP,AB Card 22/6/2012
  2. 2. Case 1• 59 years old saudi male came through ER with SOB class 3- 4, feeling unwell .• He is DM , HTN , DLP.• Recent CABG
  3. 3. Case 1 ECG A
  4. 4. • Low Limb Leads ECG ,NSR, Electrical elternanus ,Recent Anterior MI
  5. 5. Case 1 ECG B
  6. 6. CXR14/6/2012
  7. 7. • Portable CXR of severe cardiomegally.• There are important 3 differentials• 1-Pericardial effusion• 2-Multivalvualr lesions• 3-severe DCM
  8. 8. • Inverted View CXR showing severe cardiomegally but clear lung fields
  9. 9. CXR4/6/2012
  10. 10. • 2 weeks earlier CXR on discharge from cardiac surgery ward showing some cardiomegally and mild bilateral pleural effusions ,this is expected following CABG
  11. 11. Cardiac Enzymes within NL
  12. 12. PE
  13. 13. • Large Pericardial effusion mainly posterior
  14. 14. • CXR much less cardiomegally after pericardial drain , peg tail still inside
  15. 15. Case 2• 25 years old known case of marfan’s syndrome came with SOB, and chest pain
  16. 16. • Severe Cardiomegally .• In this cas there was Dilated Aorta root• Plus severe DCM the patient had marfan syndrome
  17. 17. • Severe DCM Plus severe aorta dilatation plus dissection flap.
  18. 18. Case 3• 62 years old male with Acute severe SOB.• Known HTN
  19. 19. • Mild cardiomegally plus mild right hilar congestion
  20. 20. • Mild to moderate AR + MR + mild pericardal effusion
  21. 21. • Sclerotic aortic valve
  22. 22. • 78 yrs old male patient came with severe central chest pain increases with respiration• Known diabetic and hypertensive with chronic kidney disease
  23. 23. • ECG of Hyperkalemia plus LVH characteristic finding in Renal failure patients
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