Widening: Causes & Reasons

Possible Causes for Widening

The ECG findings include: Peaked T waves best seen in the precordial leads, shortened QT interval and, at times, ST segment depression Enlarge Widening of the QRS complex [healio.com]

Peaked, symmetric T-waves with a narrow base PR prolongation and QT shortening QRS widening and decreased P-wave amplitude Increased QRS widening (both initial and terminal [emra.org]

At higher levels of potassium (< 8.0 mmol/L), the ECG may demonstrate peaked T waves, PR prolongation with decreased P waves, and widening QRS. [visualdx.com]

Carpal Instability

[…] dorsal dislocation of the proximal scaphoid pole in the radiocarpal joint (rotatory subluxation of the scaphoid) with disruption of the dorsal scapholunate ligament leads to widened [radclass.mudr.org]

The SL interosseous space is not widened (arrowhead). [radsource.us]

The SLIL is torn, and the scapholunate space is widened (arrowhead). The scaphoid bone (S) remains in its native position. [radsource.us]

Teardrop Fracture of the Cervical Spine

Other radiographic characteristics included backward displacement of the posterior fragment of the involved body, widening of the interlaminar and interspinous spaces, widening [ncbi.nlm.nih.gov]

[…] open mouth view which shows that the lateral masses of C1 no longer align with the lateral masses of C2, and that the spaces between the peg and the C1 lateral masses are widened [radiologymasterclass.co.uk]

Widening of the space between spinous processes suggests ligamentous disruption. [radiologyassistant.nl]

Coronary Balloon Angioplasty

Over the last 6 or 7 years, there has been a dramatic widening of the applications PTCA to include patients with complex anatomic lesions and adverse clinical features. [ncbi.nlm.nih.gov]

The balloon is then inflated, thus widening the artery. [medindia.net]

This procedure is meant to help the patient by widening his/her artery. [travcure.com]

Supraventricular Tachycardia with Aberrant Conduction

The value of the electrocardiogram in the differential diagnosis of a tachycardia with a widened QRS complex. Am J Med 1978;64:27–33 7. [slideshare.net]

Now, the heart rate is 75/minute and the QRS complexes are widened. This QRS widening in the form of RBBB is called acceleration dependent aberration. [metealpaslan.com]

The value of the electrocardiogram in the differential diagnosis of a tachycardia with a widened QRS complex. Am J Med 1978;64:27-33. [ Links ] 9. [scielo.cl]

Bronchiectasis

Typically, bronchiectasis causes widening of medium-sized airways, but often smaller airways become scarred and destroyed. [merckmanuals.com]

Because bronchiectasis creates an abnormal widening of the airways, extra mucus tends to form and pool in parts of the widened airways. [who.int]

Bronchiectasis (brong-ke-EK-ta-sis) is a condition in which damage to the airways causes them to widen and become flabby and scarred. [web.archive.org]

Keratosis Obturans

Keratosis obturans : widening of the right bony canal, with normal ear drum and middle ear. [ent360.in]

The ear canal appears to be widened, making the eardrum stand out. [medigoo.com]

As underlying problem in Keratosis Obturans is with migration of keratin in the ear canal, any widening of the canal didn’t restore the natural migration of the dead skin. [gavinpublishers.com]

Antidepressant Toxicity

Though 7.5% hypertonic saline has been shown to correct hypotension and QRS widening in severe CA overdose in a swine model, [13] limited evidence supports the use of hypertonic [emedicine.medscape.com]

Specific Treatments If QRS widened or Ventricular arrhythmia, commence alkalization with Sodium Bicarbonate bolus 2mmol/kg. [rch.org.au]

Specific antidotes: the role of sodium bicarbonate in tricyclic overdose The indication for the use of bicarbonate in tricyclic overdose is the widening of the QRS interval [derangedphysiology.com]

Acute Aortic Regurgitation

Aortic echograms in nonendocarditis showed either widened root, diminished leaflet excursion, absence of irregular valvular thickening, or normal leaflets, all without mitral [ncbi.nlm.nih.gov]

Another characteristic diagnostic finding is widened pulse pressure. [amboss.com]

] [2] Pathophysiology General Regurgitation of blood from the aorta into the left ventricle (LV) → Increased systolic blood pressure ; and decreased diastolic pressure → Widened [amboss.com]

Dilatation and Curettage

"Dilatation" is a widening of the cervical passage. [medindia.net]

A speculum is inserted into the vagina to widen it in order to look at the cervix (first panel). A dilator is used to widen the cervix (middle panel). [siteman.wustl.edu]

Dilatation is next done using sequential metal round tapered dilators and the opening to the uterus is gradually widened to about the size of a large pencil. [medindia.net]

Coxitis Fugax

Note the slight widening of the left hip joint, representing a small joint effusion. Joint widening can also be secondary to hypertrophy of the cartilage. [emedicine.com]

Anteroposterior pelvis in an overweight13-year-old adolescent girl shows widening of the epiphyseal plate with irregular margins. [emedicine.com]

Widening of the medial joint space Waldenström sign – Lateral displacement of the femoral epiphyses with surface flattening Prominent obturator shadow Slight demineralization [boneandspine.com]

Ruptured Thoracic Aortic Aneurysm

Types of Thoracic Aneurysms Ascending : A widening of the vessel wall in the portion of the aorta located closest to the heart. [uchospitals.edu]

No evidence of Mediastinal widening. [omicsonline.org]

(a) Chest radiograph showing marked cardiomegaly with biventricular configuration, widening of the middle and superior mediastinum with a convex margin continuous with the [file.scirp.org]

Calcaneus Fracture

This occurs due to excessive widening of the bone. Treatment is by removing the excessive bone by surgery. I hope the information provided was helpful. [joint-pain-expert.net]

A calcaneus fracture crushes the heel, leading to widening of the heel and joint damage. [wholefoot.com]

When this occurs, the heel can widen, shorten, and become deformed. Calcaneus fractures can be quite severe. [orthoinfo.aaos.org]

Beta Blocker Poisoning

[…] removal less effective (eg Carvedilol, propanolol) � blockers with membrane stabilizing activity associates with higher risk of seizure and TCA-like cardiac toxicity � QRS widening [aic.cuhk.edu.hk]

Sodium channel blockade with QRS widening: Administer bicarbonate (1-2 mEq/kg IV as a repeated bolus every 3-5 minutes until QRS < 120 msec). [emdocs.net]

[…] and those with coingestions of other cardiovascularly active agents two beta-blockers require special consideration: — propanolol -> causes sodium channel blockade -> QRS widening [lifeinthefastlane.com]

Mediastinitis

A chest radiograph demonstrates mediastinal widening and a CT scan demonstrates mediastinal gas. [step2.medbullets.com]

Imaging CXR; may be normal or mediastinum widened. Management Thoracotomy to confirm diagnosis or relieve obstruction. Segen's Medical Dictionary. © 2012 Farlex, Inc. [medical-dictionary.thefreedictionary.com]

Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2] Overview On chest x-ray, mediastinitis may be characterized by calcification, widening [wikidoc.org]

Urethral Stricture

Treatment at NYU Langone Treatments for urethral stricture include dilation, which widens the urethra, and surgical procedures, which may widen or remove the narrowed section [nyulangone.org]

The incision helps widen the stricture. [nyulangone.org]

Surgery for Urethral Stricture Longer and recurrent urethral strictures may require surgery to widen the urethra. [nyulangone.org]

Traumatic Aortic Rupture

None of these measurements was as effective as subjective interpretation of mediastinal widening, which had a sensitivity of .91 (P = .0000). [ncbi.nlm.nih.gov]

All patients in Group 1 demonstrated mediastinal widening and abnormal aortic contour; however, 50 percent of patients in Group 2 had similar findings. [ncbi.nlm.nih.gov]

Review of all radiological alterations of the plain chest film shows a statistically significant difference between groups A and B only for mediastinal widening and aortic [ncbi.nlm.nih.gov]

Leontiasis due to Leprosy

Widening of the interdental spaces, and an expanded, heterogeneous appearing diploic space was also identified (Figure 1). [appliedradiology.com]

Abstract Uremic leontiasis ossea is a rare manifestation of renal osteodystrophy clinically characterized by jaw enlargement, widening of the nares, flattening of the nasal [ncbi.nlm.nih.gov]

[…] many diseases – paget disease, fibrous dysplasia, reactive inflammatory bone disease, renal osteodystrophy—which result in leonine facies. 1,2 This manifests physically as widening [appliedradiology.com]

Singleton Merten Syndrome

[…] medullary cavities Expanded metatarsals with widened medullary cavities Expanded phalanges with widened medullary cavities Genu valgum Glaucoma High anterior hairline Hip [dovemed.com]

and muscular weaknessMerten-Singleton syndrome; SM syndrome; Singleton-Merten dysplasia; Syndrome of widened medullary cavities of the metacarpals and phalanges, aortic [rarediseases.info.nih.gov]

[…] medullary cavities ; Expanded metatarsals with widened medullary cavities ; Expanded phalanges with widened medullary cavities ; Generalized hypotonia ; Genu valgum ; Glaucoma [mousephenotype.org]

Atlanto-odontoid Dislocation or Fracture

Abnormal widening [ edit ] A widening of the atlanto-axial joint, as measured between the posterior surface of the anterior arch of atlas and the front of the odontoid process [en.wikipedia.org]

Widening of the space between spinous processes suggests ligamentous disruption. [radiologyassistant.nl]

There is usually no cord compression and associated neurologic deficit, because the fracture widens the ring of C1, which at this level spinal canal is composed of one-third [scientificspine.com]

Retropharyngeal Abscess

The annotated pathological images reveals the magnitude of the soft tissue widening. Loading images... [radiopaedia.org]

These pictures show prevertebral soft tissue widening. [sites.google.com]

Plain Xray shows widening of the retropharyngeal space.Usually on plain Xray there is an increase in the retropharyngeal space i.e.., so it is 2x the diameter of the vertebral [resus.com.au]

Ectasia of the Mammary Duct

Correlation with the actual duct widening is not known. Both duct widening and duct ectasia syndrome are frequently bilateral, hence systemic causes are likely involved. [en.wikipedia.org]

Overview Mammary duct ectasia (ek-TAY-zhuh) occurs when a milk duct beneath your nipple widens, the duct walls thicken and the duct fills with fluid. [mayoclinic.org]

Correlation of duct widening with the "classical" symptoms of duct ectasia syndrome is unclear. [en.wikipedia.org]

Diastasis Symphysis Pubis

In a normal pregnancy, the joint widens up to 4mm. [ultimatesleep.com.au]

Joint widening of over 9mm however, is considered to be abnormal and is accompanied with the diagnosis of diastasis symphysis pubis. [bumpmoves.com.au]

Joint widening ranged from 3 mm to 34 mm. Twenty-three cases had accompanying vertical mobility. [synapse.koreamed.org]

Female Urethral Stricture

There are various treatment options which aim to widen the narrowed section of your urethra. What is a urethral stricture? [bournsurgery.nhs.uk]

In addition, prior procedures done to open the stricture or widen it are important to note because multiple such procedures can make the repair much more difficult. [northaustinurology.com]

Buccal mucosa urethroplasty : This procedure opens the urethra and patches the narrow area with an alternative tissue to widen the lumen. [cityofhope.org]

Lower Esophageal Ring

In rare cases, doctors widen the constricting ring by doing a surgical procedure. NOTE: This is the Consumer Version. [merckmanuals.com]

Sometimes, a balloon is placed in the area and inflated, to help widen the ring. Swallowing problems may return. You may need repeat treatment. [medlineplus.gov]

Sometimes, a balloon is placed in the area and inflated, to help widen the ring. Outlook (Prognosis) Swallowing problems may return. You may need repeat treatment. [mclarenhealthplan.org]

Platyspondyly

Título: Lethal osteosclerotic osteochondrodysplasia with platyspondyly, metaphyseal widening, and intracellular inclusions in sibs. [bases.bireme.br]

The lesion was previously mentioned by Nau (1904) in his thesis on "Congenital Scoliosis," in which he described it as a widened bilobar vertebra. [jamanetwork.com]

The clavicles, ribs, metacarpals, metatarsals, and phalanges were especially thickened and widened. The long bones were shortened with flared metaphyses. [bases.bireme.br]

Craniometadiaphyseal Dysplasia

Increased interorbital distance and a widened nasal bridge can also be seen. [e-aps.org]

[…] of the mediastinum in children 360 Unilateral widening of the mediastinum in children 361 Wide superior mediastinum in children 363 Fullness or mass in the anterior mediastinum [books.google.it]

The growth plates (metaphyses) of long bones are widened (Erlenmeyer flask-shaped) and show decreased density while the shafts of the long bones are thickened. [medicinenet.com]

Thoracic Aortic Aneurysm

An urgent CT aortogram was requested given his widened mediastinum on chest radiograph, cardiac history of bicuspid valve and symptoms. [ncbi.nlm.nih.gov]

This may show a widening in your aorta. Transthoracic echocardiography. [global.ihi.com]

Types of Thoracic Aneurysms Ascending : A widening of the vessel wall in the portion of the aorta located closest to the heart. [uchospitals.edu]

Aortic Dissection

[…] or aortic knob widening on Chest XRay Timing Sudden onset: 85% Severity Severe pain: 90% Characteristics Pain: 95% Type A: 94% Type B: 98% Sharp pain: 64% Tearing/ripping [fpnotebook.com]

63% of patients with a Type A dissection had widened mediastinum, but 11% had no CXR abnormalities at all 56% of patients with Type B dissections had a widened mediastinum [hippoed.com]

DIAGNOSES: Chest X-ray revealed widening of the mediastinum. Subsequently, contrast-enhanced chest computed tomography demonstrated Stanford type A aortic dissection. [ncbi.nlm.nih.gov]

Aortic Aneurysm and Dissection

[…] patients with aortic dissection, the condition was identified by the presence of prominent, flap-like, undulating motion of the inner dissected wall or marked parallel wall widening [ncbi.nlm.nih.gov]

When disease is present, the aorta can tear (dissect) or dilate to form an abnormal widening or ballooning called an aneurysm. [medstarunionmemorial.org]