dowjunk wrote:
Plz be elaborative:
Q12 A 17-year-old girl is brought to the physician because she remains short in stature for her age. She has not shown any changes of puberty. On physical examination her vital signs include T 37 C, RR 18/minute, P 75/minute, and BP 165/85 mm Hg. She has a continuous murmur heard over both the front of the chest as well as her back. Her lower extremities are cool with poor capillary filling. She has a webbed neck. A chest radiograph reveals a prominent left heart border, no edema or effusions, and rib notching. Which cardiovascular abnormalities is she most likely to have? Can u suggest another associated problem this girl might have?
Turner's syndrome (webbed neck, no puberty)
Answer: Coarctation of aorta - high BP (upper extremity probably), cold lower extremities, rib notching
associated problem???
PDA - had to look up for this one. noticed the continuous murmur but didnt' know. coarctation is preductal, so PDA might be there.
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| bioguy
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dowjunk wrote:
Q13 A 44-year-old woman dies as a consequence of a "stroke". At autopsy, she is found to have a large right basal ganglia hemorrhage. She has an enlarged 550 gm heart with predominantly left ventricular hypertrophy. Her kidneys are small, about 80 gm each, with cortical scarring, and microscopically they demonstrate small renal arterioles that have luminal narrowing from concentric intimal thickening. Which of the following is the most likely diagnosis?
A Dominant polycystic kidney disease
B Arterial changes with diabetes mellitus
C Vascular disease with hyperlipidemia
D Malignant hypertension
E Monckeberg's sclerosis
D Malignant hypertension
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| bioguy
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dowjunk wrote:
"Remembering the feel" Question:
A 55 yr old dead body had been autopsied a few years back. The official forensic and pathologic notes were reviewed by some specialists. No significant finding was observed. The pt was a known case of HTN, wiht all specimens giving no clue of his sudden death. His 7 out of 21 artery specimen (taen from multiple sites) showed red clots. All were shiny in appearance and jelly like in consistency. The final remarks were "inconclusive" for the cause of death. Do you agree? Why?
don't know if you are talking about postmortem clot (as described above) versus a regular premortem clot with lines of Zhan
no idea of any toxicological effect causing that jelly like clot
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| dowjunk
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Regarding Q11, it made me scratch my head too...in the end had to check the answers:
First rule out: Kaposi(no heart involvement) and myxoma (ball valve effect, in atria not in ventricle).
10cm is a clue........it must be a cancer if it is this big in the heart!!! It is angiosarcoma...increased size with areas of hemorrhage and necrosis.
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yup bioguy its a postmortem clot. Jelly like clots are postmortem clots!!!
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| bioguy
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hey, whats the answer to the sternocleidomastoid tumor question?
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| dowjunk
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An air embolus is formed due to the suction effect, this/these emboli accumulate within the heart ventricles, causing foaming, quite often and hence a mild duysfunctrion! A reasonably common finding when an non-commanding hand operates any thing of or above the neck..............the neck/intracranial veins suck some air into themselves leading to symptoms of gasping or defective heart function.........In most of the cases it is non lethal!
A 'no-so-high-yield-thing'....but realy something that grasped my attention....as it was something out of the box!
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Grad of 2007. Work in progress.......
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