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Cardiomegaly on Chest X-ray

X Ray Chest Heart Size Shape Cardiomegaly


Presentation

  • Presentation on theme: "No history of arthritis Significant cardiomegaly on chest x-ray"— Presentation transcript: 1 No history of arthritis Significant cardiomegaly on chest x-ray ** You are asked to see a 24 y/o female with fatigue, myalgias, and a[slideplayer.com]
  • Annual chest x-ray studies were performed, and data are presented regarding prevalence, incidence, and prognosis of cardiomegaly.[ncbi.nlm.nih.gov]
  • I will appreciate the opinion of the respected radiologests present in the group. 2 Reply @sri siddardha gure: lot of thanks sir,how did say Carina 90 degrees, pls help 0 Reply @Rãj D Røçkxstär: Trachea, Bronchi - as they contains air, they appear more[dailyrounds.org]
  • Joshua Broder presents validated clinical decision rules, describes time-efficient approaches for the emergency physician to identify critical radiographic findings that impact clinical management and discusses hot topics such as radiation risks, oral[books.google.com]
  • Infiltrate s ( Kerley B Lines, peribronchial cuffing) Stage III: Alveolar Infiltrate s (and Pleural Effusion s) Interstitial fluid leak overwhelms lymphatic drainage capacity, overflowing into alveoli and pleural space Acute pulmonary edema typically presents[fpnotebook.com]
Hoarseness
  • Signs and symptoms of lung cancer are A new cough, a cough that won't go away, or coughing up blood Chest pain Shortness of breath Hoarseness or wheezing Repeated respiratory infections From Reviewed on 1/4/2019 Sources: Patient Comments & Reviews Chest[emedicinehealth.com]
Heart Block
  • Proteinase 3) See appendix for more information 21 Outdated ANA – four types 22 Lupus Erythematosus - Subtypes SLE - systemic Discoid – relatively benign (skin and joints) SCLE - subacute cutaneous anti-Ro antibody positive neonatal lupus / congenital heart[slideplayer.com]
Recurrent Oral Ulceration
  • Positive VDRL test for syphilis History of previous miscarriage Recurrent oral ulcerations 3 proteinuria on UA History of allergy to multiple medications[slideplayer.com]
Oral Ulcers
  • Positive VDRL test for syphilis History of previous miscarriage Recurrent oral ulcerations 3 proteinuria on UA History of allergy to multiple medications[slideplayer.com]
Myalgia
  • Presentation on theme: "No history of arthritis Significant cardiomegaly on chest x-ray"— Presentation transcript: 1 No history of arthritis Significant cardiomegaly on chest x-ray ** You are asked to see a 24 y/o female with fatigue, myalgias, and a[slideplayer.com]
Ulcer
  • Positive VDRL test for syphilis History of previous miscarriage Recurrent oral ulcerations 3 proteinuria on UA History of allergy to multiple medications[slideplayer.com]
  • It can be caused by a ruptured appendix, perforated ulcer, or ruptured diverticulum. 4 Nursing implications Nurses can use CXRs as an additional tool to confirm physical assessment findings.[nursingcenter.com]
Dermatitis
  • Immune complexes ANA Complement Other antibodies Treatment - usually corticosteroids 3 Facial rash 4 5 6 Systemic Lupus Erythematosus Multisystem disease - young female Antigen-antibody complexes positive ANA, dsDNA, complement Common problems Arthritis, dermatitis[slideplayer.com]
Discoid Rash
  • rash Photosensitivity Oral Ulcers Arthritis Serositis Renal disorder Neurologic disorder Hematologic disorder Immunologic disorder ANA positive 1997 update of the 1982 revision of the ACR classification criteria for SLE 16 or APL antibody MS Core 17[slideplayer.com]
Photosensitivity
  • Hispanics have worse prognosis Genetic factors – variable High prevalence among twins 5-12% cumulative incidence among first-degree relatives HLA Class II (multiple associations) and C4a null alleles 8 Typical findings Skin - butterfly rash, alopecia, photosensitivity[slideplayer.com]
Alopecia
  • Sm/RNP), Hispanics have worse prognosis Genetic factors – variable High prevalence among twins 5-12% cumulative incidence among first-degree relatives HLA Class II (multiple associations) and C4a null alleles 8 Typical findings Skin - butterfly rash, alopecia[slideplayer.com]
Malar Rash
  • rash Discoid rash Photosensitivity Oral Ulcers Arthritis Serositis Renal disorder Neurologic disorder Hematologic disorder Immunologic disorder ANA positive 1997 update of the 1982 revision of the ACR classification criteria for SLE 16 or APL antibody[slideplayer.com]
Hematuria
  • New chapters cover corneal foreign body, hematuria, brain natriuretic peptide in congestive heart failure, and D-dimer. The format includes more quick-scanning bullets and tables.[books.google.com]
Tingling
  • The positive ANA confirms the diagnosis so no further evaluation is necessary Pancytopenia A history of a transient episode of confusion followed by numbness and tingling in the right arm No history of arthritis Significant cardiomegaly on chest x-ray[slideplayer.com]

Treatment

  • […] confusion followed by numbness and tingling in the right arm No history of arthritis Significant cardiomegaly on chest x-ray 2 Immune Mediated Disease Etiology - unknown Multiple organ system involvement Immune complexes ANA Complement Other antibodies Treatment[slideplayer.com]
  • […] tachycardia palpitations tachypnoea oliguria gastrointestinal bloating 2.signs of left heart failure : - third heart sound. crackles at the lung base. 3.Signs of right heart failure : -Raised JVP Pulmonary artery hypertension Loud P2 Hepatomegaly Pedal oedema Treatment[dailyrounds.org]
  • But most people with an enlarged heart need life-long treatment with medications. Types The heart enlarges because of damage to the heart muscle. Up to a point, an enlarged heart can still pump blood normally.[webmd.com]
  • […] and prognosis [ edit ] Treatments for cardiomegaly include a combination of medication treatment and medical/surgical procedures.[en.wikipedia.org]
  • If cardiomyopathy or other heart conditions are diagnosed early, treatments may prevent the disease from worsening.[mayoclinic.org]

Prognosis

  • Annual chest x-ray studies were performed, and data are presented regarding prevalence, incidence, and prognosis of cardiomegaly.[ncbi.nlm.nih.gov]
  • […] renal, polyserositis, CNS, splenomegaly Treatment - corticosteroids 7 Lupus Demographics young women 5:1 over men ages - 15 - 40 Relatively uncommon – 50/100,000 individuals % population Males, Afro-Americans (increased Sm/RNP), Hispanics have worse prognosis[slideplayer.com]
  • […] and biopsy : In this procedure, a thin tube (catheter) is inserted in the groin and threaded through the blood vessels to the heart, where a small sample (biopsy) of the heart, if indicated, can be extracted for laboratory analysis. [13] Treatment and prognosis[en.wikipedia.org]
  • In SSA and similar resource-limited settings, access to such specialist cardiology services is constrained and misdiagnosis in primary care may contribute to delayed referral and advanced presentation explaining in part, the poor prognosis associated[journals.plos.org]

Etiology

  • […] the diagnosis so no further evaluation is necessary Pancytopenia A history of a transient episode of confusion followed by numbness and tingling in the right arm No history of arthritis Significant cardiomegaly on chest x-ray 2 Immune Mediated Disease Etiology[slideplayer.com]
  • Based on etiology, 3 subgroups can be distinguished: nodular metastases, nodular pneumoconiosis ( inhaled dust particles) and granulomatous diseases (including sarcoidosis and arthritis). Think also of miliary TBC. Figure 24.[startradiology.com]

Epidemiology

  • Heart failure in patients with human immunodeficiency virus infection: epidemiology, pathophysiology, treatment, and future research. Circulation. 2014;129(17):1781–9. pmid:24778120; PubMed Central PMCID: PMCPMC4006343.[journals.plos.org]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology: Progression of chronic CHF Stage I: Pulmonary venous Hypertension with prominent upper lobe vessels (cephalization) Stage II: Interstitial Infiltrate s ( Kerley B Lines, peribronchial cuffing) Stage III: Alveolar Infiltrate s (and Pleural[fpnotebook.com]
  • Heart failure in patients with human immunodeficiency virus infection: epidemiology, pathophysiology, treatment, and future research. Circulation. 2014;129(17):1781–9. pmid:24778120; PubMed Central PMCID: PMCPMC4006343.[journals.plos.org]

Prevention

  • […] of Water Borne Diseases Prevention of Chikungunya Virus Infection Levels of Prevention – Dengue Fever Prevention of Viral Hepatitis Prevention of Typhoid Fever Pregnancy Nutrition in Pregnancy Pregnancy Week 10 Dreams in Pregnancy Pregnancy Week 9 Pregnancy[medworldonline.com]
  • Hospital for Sick Children Health A-Z Search a complete list of child health articles expand_more View All Drug A-Z Search a list of articles about medications expand_more View All Learning Hubs Browse a complete list of content groups Healthy Living & Prevention[aboutkidshealth.ca]
  • It compresses the right ventricle, preventing influx of venous return (prevents preload) and you get heart failure. It is often acute (otherwise it would just be a compensated pericardial effusion).[forums.studentdoctor.net]
  • Prevention Tell your doctor if you have a family history of conditions that can cause an enlarged heart, such as cardiomyopathy. If cardiomyopathy or other heart conditions are diagnosed early, treatments may prevent the disease from worsening.[mayoclinic.org]
  • Prevention of cardiomegaly starts with detection. If a person has a family history of cardiomegaly, one should let one's doctor know so that treatments can be implemented to help prevent worsening of the condition.[en.wikipedia.org]

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