Quiz #37: Video Quiz - Echocardiogram

Four-hours old newborn with cyanosis.
1) What do you observe?
2) Provide at least 3 differential diagnoses for this observation.

Link to the answer

Representative still image is below, just in case the video does not work.

(Click on the image to enlarge)

Quiz #30: EKG - Arrhythmia

13-year old girl was transferred to Pediatric ICU for atrial flutter. She is obtunded and has muscle tremors. Suspected to have developed encephalopathy as part of a systemic vasculitis. Figure 1 is an strip from floor with EKG and pulse oximeter trace. Figure 2 is an apical 4-chamber view with Doppler trace of mitral/aortic valve flows.

Questions:
1) What is the diagnosis?
2) How will you manage?

Link to the answer

(Click on the image to enlarge)

Quiz #25: Echo - Identify the vessel (again)!

Going with the same theme as Quiz #24.

Subcostal sagittal (bicaval) view in a newborn with severe cyanosis.

(Some labels are given. Clue: A vertical vessel flowing downwards, behind the IVC).

Question 1:

1)      Name the vessel shown by arrow.

2)      Provide a possible diagnosis. (I won’t be upset if you gave a second possible diagnosis as well!)

Link to the answer

Quiz #24: Echo: Identify the vessel

Subcostal saggital view from a newborn with multiple congenital heart defects.

Questions:

1)      Name the vessel shown by the arrow.

2)      What defect would you suspect from this observation?

Link to answer

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.

Link to the answer

(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?

(Click on the image for larger image)

Link to answer