PA and AP chest radiographs Presents each radiograph twice, side by side - once as would be seen in a clinical setting and again with the pathology clearly highlighted Includes a section of self-assessment and presentation exercises to test knowledge [books.google.com]

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]

Type of CXR will have an impact on what is considered “normal” Know which structures should be present or absent in chest x-ray interpretation Chest X-Ray Interpretation include anatomy and pathology of chest radiograph Chest X-Ray Tracheal abnormalities [play.google.com]

• Pain

  Recently had an keg for some chest pain. Doctor said it was Recently had an keg for some chest pain. Doctor said it was chest wall pain and pulled chest muscles. The did a 13 lead EKG, chest X-Ray and a tone of blood tests. [justanswer.com]

  Advanced Search: • Use “ “ for phrases o [ “pediatric abdominal pain” ] • Use – to remove results with certain terms o [ “abdominal pain” –pediatric ] • Use OR to account for alternate terms o [teenager OR adolescent ] [msdmanuals.com]

  The children suffering from hypertrophic cardiomyopathy basically complain about lightheadedness and pain in chest. They may also develop arrhythmia and fainting spells. [ic.steadyhealth.com]

  D. 1.Other symptoms heart failure : -chest pain Dyspnoea orthopnoea paroxysmal nocturnal dyspnoea tachycardia palpitations tachypnoea oliguria gastrointestinal bloating 2.signs of left heart failure : - third heart sound. crackles at the lung base. 3. [dailyrounds.org]

• Weakness

  Dilatative, also known as congestive, cardiomyopathy is a condition in which the heart stretches and becomes weak to pump proper amounts of blood. [ic.steadyhealth.com]

  Significant cardiomegaly on chest x-ray 37 Positive VDRL test for syphilis History of previous miscarriage A 18 y/o female presents with a five month history of joint complaints, easy bruisibility, pain with breathing on the left side, and occasional weakness [slideplayer.com]

  Sometimes the heart gets larger and becomes weak for unknown reasons. This is known as idiopathic cardiomegaly. [mayoclinic.org]

  In situations where someone is unable to stand (too weak, disabled, or hospitalized), the image can be taken while laying down with the recording surface placed behind the back. [emedicinehealth.com]

  Relevant Paper(s) Author, date and country Patient group Study type (level of evidence) Outcomes Key results Study Weaknesses Madsen, EB et al 1984 USA 229 patients discharged following a definite AMI. [bestbets.org]

• Collapse

  A very large one will displace the heart and mediastinum away from it, whilst collapse draws those structures towards it. Collapse may also raise the hemidiaphragm. [patient.info]

  Atelectasis- collapse of lung Displacement of interlobar fissure: because the lobes of lung collapse, the fissures in between the lobes move up or down because of hyperinflation of normal lobe against collapsed lobe. [medicforyou.in]

  Lung a very pressure sensitive structure tend to collapse whenever confronted with external pressure .This is evident in all cases of large pleural effusion (Note :The heart collapses only in a fraction of patients with large pericardial effusion -ie [drsvenkatesan.com]

  Occasionally the entire lung can collapse, but more commonly only part of the lung is involved. [neighborhoodradiologist.com]

  This causes the affected lung to collapse and shifts the mediastinum toward the unaffected side. 4 The mediastinal shift impairs cardiac filling and can quickly lead to cardiovascular collapse. [nursingcenter.com]

• Swelling

  A physical exam: You may have swelling. An enlarged heart can also produce abnormal sounds when a doctor listens with a stethoscope. Chest X-ray: Dilated cardiomyopathy increases the heart’s size on a chest X-ray film. [webmd.com]

  Note any swelling (healing fracture or hematoma) or fracture. Focal loss suggests lytic destruction, as can occur with malignancy. Shoulder girdle : Look for dislocations, fractures, or lytic lesions. [sharinginhealth.ca]

  Others may have these signs and symptoms: Shortness of breath Abnormal heart rhythm (arrhythmia) Swelling (edema) When to see a doctor An enlarged heart is easier to treat when it's detected early, so talk to your doctor if you have concerns about your [mayoclinic.org]

  Symptoms, when noticeable, include: abnormal heart rhythms chest pain coughing dizziness extreme tiredness shortness of breath stomach bloating swelling of the ankles, feet, and legs Mild cardiomegaly can result from conditions that overwork or damage [medicalnewstoday.com]

• Painful Cough

  Symptoms, when noticeable, include: abnormal heart rhythms chest pain coughing dizziness extreme tiredness shortness of breath stomach bloating swelling of the ankles, feet, and legs Mild cardiomegaly can result from conditions that overwork or damage [medicalnewstoday.com]

  Chest pain Coughing, when lying down Fatigue Swelling in legs Increased abdominal girth Weight gain Edema – swelling Fainting[13] There is not much variation in these symptoms because they are mostly specific to the chest area. [en.wikipedia.org]

• 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]

• Chest Pain

  Recently had an keg for some chest pain. Doctor said it was Recently had an keg for some chest pain. Doctor said it was chest wall pain and pulled chest muscles. The did a 13 lead EKG, chest X-Ray and a tone of blood tests. [justanswer.com]

  D. 1.Other symptoms heart failure : -chest pain Dyspnoea orthopnoea paroxysmal nocturnal dyspnoea tachycardia palpitations tachypnoea oliguria gastrointestinal bloating 2.signs of left heart failure : - third heart sound. crackles at the lung base. 3. [dailyrounds.org]

  The children suffering from hypertrophic cardiomyopathy basically complain about lightheadedness and pain in chest. They may also develop arrhythmia and fainting spells. [ic.steadyhealth.com]

  Symptoms, when noticeable, include: abnormal heart rhythms chest pain coughing dizziness extreme tiredness shortness of breath stomach bloating swelling of the ankles, feet, and legs Mild cardiomegaly can result from conditions that overwork or damage [medicalnewstoday.com]

  Some of the common reasons to order a chest X-ray test are c ough, shortness of breath, chest pain, poor oxygenation (hypoxia), back pain, chest injury, and fever. [emedicinehealth.com]

• Fracture

  Patella Fracture This radiograph of patellas shows a normal left patella and a healing fracture of the right patella. This x-ray was taken with the patient lying on his back and directing the beam over his bent knees. [anatomybox.com]

  Note any swelling (healing fracture or hematoma) or fracture. Focal loss suggests lytic destruction, as can occur with malignancy. Shoulder girdle : Look for dislocations, fractures, or lytic lesions. [sharinginhealth.ca]

  […] as indications for oral and IV contrast in abdominal CT and MRI versus CT for occult hip injury; high-risk pathology that can be missed by routine diagnostic imaging - including subarachnoid hemorrhage, bowel injury, mesenteric ischemia, and scaphoid fractures [books.google.com]

  […] back), rib fractures, or cardiomegaly, or enlarged heart. [emedicinehealth.com]

  I had a chest x-ray, which showed no broken or fractured ribs. I was told that I had borderline cardiomegaly without focal air space disease. The doctor asked me not to worry about the diagnosis. [doctor.ndtv.com]

• Back Pain

  Saha Doctoral Degree 6,217 satisfied customers I was all day today having chest and back pain but once it i was all day today having chest and back pain but once it appears it last for maybe 30 seconds and dissapear, sometimes is stabbing pain, sometimes [justanswer.com]

  Some of the common reasons to order a chest X-ray test are c ough, shortness of breath, chest pain, poor oxygenation (hypoxia), back pain, chest injury, and fever. [emedicinehealth.com]

• Contusion

  Alveolar lung edema has several causes, including: Cardiogenic (heart failure) Neurogenic (head trauma) Increased permeability of the pulmonary vascular bed: inhalation/toxic gas, high altitude disease, aspiration, contusion, fat embolism, sepsis. [startradiology.com]

• Uremia

  D Heart Normal vasculature Remarks Pericardial effusion Uremia, viral, mets, TB, trauma, post-MI Cardiomyopathy Alcoholism, beri beri Multiple valve disease Coronary artery disease Cardiomyopathy Ebstein's Big right heart Corrected transposition * With [learningradiology.com]

• Pericardial Effusion

  Autoimmune Trauma Infection Metabolic Drug induced Sarcoidosis Neoplastic Pancreatitis describe Dressler's syndrome Pleural effusion and pericardial effusion Develops 2 to 8 weeks after MI Rarely may cause cardiac tampanade this CXR shows pericardial [quizlet.com]

  On the left another patient with a large cardiac silhouette on the chest x-ray due to pericardial effusion. Pericardial effusion is demonstrated on the coronal CT-reconstruction. [radiologyassistant.nl]

  There is cardiomegaly and some-what bootlle -shaped figure and pulmonary oligemia ; all suggestive of massive pericardial effusion (?). [dailyrounds.org]

  No pericardial effusion. 1 case question available Annotated image Cardiothoracic ratio Loading images... [radiopaedia.org]

[…] 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]

Surgery Surgery is usually reserved for more severe cases of cardiomegaly, or for those that do not respond to other treatments. [medicalnewstoday.com]

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]

Hypertrophic cardiomyopathy is typically an inherited condition.[12] Treatment and prognosis[edit] Treatments for cardiomegaly include a combination of medication treatment and medical/surgical procedures. [en.wikipedia.org]

Treatment Treatments for an enlarged heart focus on correcting the cause. Medications If cardiomyopathy or another type of heart condition is to blame for your enlarged heart, your doctor may recommend medications. [mayoclinic.org]

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]

Hypertrophic cardiomyopathy is typically an inherited condition.[12] Treatment and prognosis[edit] Treatments for cardiomegaly include a combination of medication treatment and medical/surgical procedures. [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 There are many etiologies for cardiomegaly: congestive heart failure ischemic heart disease hypertension (with left ventricular hypertrophy) valvular disease mitral regurgitation tricuspid regurgitation aortic stenosis aortic regurgitation subacute [radiopaedia.org]

[…] 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]

Biochemistry (17) Histology, Embryology (15) Obstetrics, Gynaecology (14) Endocrinology, Metabolism (13) General Practice Medicine (13) Microbiology (12) Anaesthesiology and Intensive Care Medicine (12) Nuclear Medicine (11) Haematology (10) Urology (10) Epidemiology [portal.mefanet.cz]

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]

Orthopaedics (188) Internal Medicine (175) Paediatrics, Neonatology (165) Pathology and Forensic Medicine (146) Respiratory Medicine (85) Radiology and Imaging (65) Cardiology, Angiology (64) Gastroenterology and Hepatology (62) Dentistry (53) Physiology and Pathophysiology [portal.mefanet.cz]

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]

[…] 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]

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]

It is not always possible to prevent cardiomegaly, for example, in the case of inherited heart diseases. Many forms of cardiomegaly are permanent and will require ongoing care to prevent their progression. [medicalnewstoday.com]