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The prelims comprise:
Half‐Title Page
Dedication Page
Title Page
Copyright Page
Table of Contents
About the Author
Preface
Acknowledgments
Abbreviations
Worked Example
Companion Website
This chapter presents the patient study data of a chronic alcoholic patient who was hospitalized for exertional dyspnea in 1968. He was told of a heart murmur at age 20 in 1939 and has had dyspnea on exertion since that time. He has had two admissions for heart failure, in 1962 and 1964. The patient was offered surgery in 1966 for hypertrophic subaortic stenosis but refused. He was treated with the...
This chapter presents a case study of a 24‐year‐old man with dyspnea and leg edema to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non‐invasive imaging modalities. The study follows a templated design and consists of: history, physical examination, ECG, Chest X–ray, LV and aortic pressure curves, intracardiac pressures and additional...
This chapter presents a patients study of a 27‐year‐old man was admitted to hospital in 1973 with hemoptysis for 5 days. It provides the history, physical examination, diagnosis and treatment and follow‐up data of the patient. The patient had a past history of rheumatic fever and had exertional dyspnea since 1968. His ECG in 1973 showed atrial fibrillation and right‐axis deviation. His course shows...
This chapter presents the patient study data of a 22‐year‐old female who was admitted to hospital with dyspneain sequence on walking one block or up one flight of stairs. It provides the history, physical examination, diagnosis and treatment and follow‐up data of the patient. The patient had had no PND or syncope. The X‐ray of chest revealed that there is a cardiomegaly with probable LV and RV enlargement,...
This chapter presents a patient study data of a 40‐year‐old man, who was stabbed in chest in left 4th interspace parasternally, underwent successful pericardial and RV repair. It provides the history, physical examination, diagnosis and treatment and follow‐up data of the patient. A systolic murmur was noted about 1 week later. Patient was a chronic alcoholic and cocaine user. The patient had a high...
This chapter presents the patient study data of a 54‐year‐old black male admitted to hospital in 1975 with dyspnea for 2 months. It provides the history, lab test results and results of the physical examination. He had a life‐long history of a heart murmur but no history of rheumatic fever or hypertension. He was a drinker and an occasional smoker. He was diagnosed with a moderate‐sized PDA with moderately...
This chapter presents the study of 21‐year‐old Hispanic male admitted to hospital in 1979 with dyspnea on exertion for 2 months. He denied any history of rheumatic heart disease or difficulty in playing soccer as a youth. He came to the USA 6 months ago and whilst working on the railroad developed dyspnea on moderate activity. He had no history of paroxysmal nocturnal dyspnea, orthopnea, or hemoptysis...
This chapter presents the study of a 20‐year‐old man admitted to hospital with atypical chest pain in 1979. It provides the history, physical examination, diagnosis and treatment and follow‐up data of the patient. The patient had had a small VSD since age 3 and developed aortic regurgitation at age 20, with a moderately elevated regurgitant fraction of 51%. At surgery in 1979 the VSD was in fact large...
This chapter presents the study of 23‐year‐old black female nullipara admitted to hospital with 3‐week history of progressive dyspnea on exertion, paroxysmal nocturnal dyspnea, and leg edema. She was told that she had had heart murmur and scarlet fever at age 11. She underwent a surgical procedure in January 1975. She was readmitted to assess the efficacy of open‐heart surgery after one year. She...
This chapter presents the patients study data of a 17‐year‐old black male was admitted with fever and myalgias. It provides the history, physical examination, laboratory data, and the course of treatment. Five days prior to admission he had sustained blunt trauma to right thigh, resulting in persistent pain and swelling. He was diagnosed with pseudo‐aneurysm of the posterobasal wall of the LV, located...
This chapter presents the patient study data of a 24‐year‐old man admitted to hospital with a 1‐day history of fever and right leg pain and following a recent tooth extraction. It provides the history, physical examination, laboratory data, and the course of treatment. The patient, a former drug addict, had a streptococcal septicemia that lead to aortic valve endocarditis and a septic embolism to...
This chapter presents the patient study data of a 48‐year‐old black female with an acute abdomen attributed to pelvic inflammatory disease. It presents data on the history, cardiac catheterization data, diagnosis, physical examination and follow up of the patient. She was referred to cardiology because of dyspnea on walking one block. She was diagnosed with heart disease during her first pregnancy...
This chapter presents the patient study data of a 19‐year‐old man had a history of easy fatigue playing soccer. It provides the history, physical examination, laboratory data, and the course of treatment. The patient had no history of heart disease, diabetes, or TB. Physical examination showed cardiomegaly, which is not borne out by the normal C/T ratio. There is arterial oxygen desaturation, which...
This chapter presents the patient study data of a 29‐year‐old man admitted to hospital with progressive exertional dyspnea on walking one block over the last few months. It provides the history, physical examination, laboratory data, and the diagnosis of the patient. As a child he had easy fatigue on playing sports, and no history of rheumatic fever, chest pain, edema, or palpitations. The history...
This chapter presents the study data of a 32‐year‐old foundry worker with a possible history of rheumatic fever as child. It provides the history, physical examination, laboratory data, and the course of treatment of the patient. Between 1963 and 1966 he had intermittent hemopytsis, atypical chest pain, and progressive exertional dyspnea. He was diagnosed with severe mitral stenosis in 1967 and underwent...
This chapter presents the study data of a 55‐year‐old female mail carrier admitted to hospital on 19 November 1993 with exertional chest pain on and off for 3 days. It provides the history, physical examination, laboratory data, and the course of treatment of the patient from 1999–2007. The patient was diagnosed as having an acute myocardial infarction and started on nitroglycerine IV, nifedipine,...
This chapter presents the patient study data of a 33‐year‐old man with dyspnea and leg edema for 6 weeks (1990). It provides the history, physical examination, an the laboratory data of the patient. The patient was diagnosed as having an ASD with pulmonary/systemic flow ratio of 4:1 in 1983. At that time he also had mild aortic regurgitation and mild pulmonary hypertension. He declined surgery and...
This chapter presents the patient study data of a 29‐year‐old black male admitted to hospital with bilateral pleuritic chest pain for the last 3 months. It provides the history, physical examination, laboratory data, and surgical findings of the patient. The patient had progressive exertional dyspnea for the last 3 months. In the last week he had one block dyspnea as well as leg edema. No paroxysmal...
This chapter presents the patient study of a 25‐year‐old man admitted to hospital with hemoptysis for one day in 1988. It provides the history, physical examination, diagnosis and treatment and follow‐up data of the patient. He had developed a leg clot and subsequent pulmonary embolism whilst travelling for 16 h by air in cramped quarters (economy class syndrome). The patient had economy class syndrome...
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