Cardiology Series: Case 9

ANSWERS UP TOMORROW AT 18:00 CET on 11/10/17

A 71-year old gentleman developed shortness of breath over the last 24 hours.

Upon physical examination, you notice the following:

  • A pulse of 150 beats/min
  • A Blood pressure of 90/60
  • Raised Jugular Venous Pressure
  • Displaced and Diffuse Apex.

Upon ascultation, you are able to auscultate a third heart sound that occurs early in diastole and is likened to a gallop sound.

A Chest-X ray was ordered, and the following result was obtained.

Image result for dilated cardiomyopathy chest x ray

1. Which diagnosis are you suspecting this patient has ? 

2. List the causes of this diagnosis.

3. How would you investigate even further ? Describe the typical findings.

4. How would you manage this patient ?

Source: https://www.ncbi.nlm.nih.gov/pubmed/19017683

1. Congestive Heart Failure with concurrent pulmonary oedema due to dilated cardiomyopathy as seen on the X-ray film.

2. Causes of Congestive Heart Failure

Image result for causes of congestive heart failure

Source: http://www.slideshare.net/tozki/heart-failure

3. Investigations for Congestive Heart Failure
Image result for congestive heart failure investigations

Source: http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/heart-failure-chronic

4. Management of Congestive Heart Failure

Image result for congestive heart failure treatment

Source: http://www.healthsanaz.com/congestive-heart-failure-treatment-chf02.html

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