Download - Clinical Cardiology Cases
![Page 1: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/1.jpg)
Clinical Cardiology Cases
Dr. Ihab Suliman
![Page 2: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/2.jpg)
A 30-year-old man presented with multiple asymptomatic, firm, polypoid, erythematous nodules on the upper and lower gingivae,
which had developed during the previous 10 years.
![Page 3: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/3.jpg)
The patient had spastic quadriparesis and mental retardation, as well as epilepsy, for which he had been taking phenytoin for more than 20 years.
![Page 4: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/4.jpg)
A 64-year-old man presented with progressive shortness of breath and exercise intolerance due to end-stage ischemic
cardiomyopathy.What is done for him?
![Page 5: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/5.jpg)
he underwent a heterotopic cardiac transplantation. Because of the presence of severe pulmonary
hypertension, the recipient's native heart (N) was left in place and the allograft was implanted in the right chest.
The native heart maintains right circulation in spite of chronic pulmonary hypertension, while the heterotopic donor heart (D) functions as a biologic left ventricular assist device. The post-transplantation electrocardiogram shows two QRS complexes with different axes (Panel A).
![Page 6: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/6.jpg)
ECG Double heart
![Page 7: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/7.jpg)
What is the diagnosis?
![Page 8: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/8.jpg)
Necrobiosis lipoidica diabeticorum May be an antibody-mediated vasculitis with
secondary collagen degeneration or the microangiopathy of diabetes (but it is not correlated with the extent of glucose control).
Treatment may include occlusive dressings, topical and subcutaneous corticosteroids, and antiplatelet therapy. Flare-ups are frequent. No treatment is completely effective.
![Page 9: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/9.jpg)
![Page 10: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/10.jpg)
Constrictive Pericarditis due to Childhood TB
![Page 11: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/11.jpg)
![Page 12: Clinical Cardiology Cases](https://reader035.vdocuments.us/reader035/viewer/2022081504/556e62dbd8b42a6a248b4bef/html5/thumbnails/12.jpg)
Pericardial Effusion