Quiz #21: EKG

EKG (15-leads and Rhythm strip) is provided from a 11-yr old girl. Referred for sports clearance and family history of heart disease (Grand parents developed coronary artery disease in their 60s). Physical exam is normal.

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(Click on the image to enlarge)

Quiz #20: Cardiac Catheterization

PA and Lateral frames of venous and arterial catheters are given below.

Question 1: Trace the course of venous catheter. What diagnosis does this catheter-course lead you to?

Question 2: Trace the course of the arterial catheter. What side is the aortic arch? (Beware, this question is a trick question).

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Quiz #19: Echocardiogram - Aortic arch view

This is a suprasternal notch view of the aortic arch from a newborn baby.
Question 1: What is abnormal in Panel 1?
Question 2: Based on Panel 1 image, what vascular anomaly should be looked for?

Clue 1: Baby in Panel 1 has Tetralogy of Fallot with right aortic arch.
Clue 2: Panel 2 is the same view of aortic arch from a normal baby.

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(Click on the image to enlarge)


 

Quiz #18: EKG Rhythm Strip

This is an EKG recorded in a 2-day baby (Tetralogy of Fallot) after cardiac catheterization.

Question: What is this catheter-induced rhythm?

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(Click on the image to enlarge)

Quiz #17: Arterial pulse trace

Below is ICU monitor display for a teen ager.

Question 1: What is the name of the pulse for the pattern shown in the arterial line trace?

Question 2: Name 3 causes for this pattern of pulse in any patient?

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(Click on the image to enlarge)

Quiz #16: Echocardiogram - Pericardial effusion - M mode

Image below is M-mode recording in parasternal short axis view, in a patient with pericardial effusion. What ominous sign is being demonstrated in this image?

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Quiz #15: 12-lead EKG - Inverted P

Question: What is the diagnosis for the inverted P?

(Clue: You may compare with the EKG in Quiz #14)

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