smalley
Forum Elite
Topics: 54
Posts: 297
|
hi.
dilated cardiomyopathy vs restrictive cardiomyopathy vs constrictive pericarditis.how to clinically diff between them?sometimes i just get stuck
thanks
___________________
But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
|
| peter90036
Forum Elite
Topics: 28
Posts: 315
|
Dilated: can't pump
hx alcohol(#2 mcc, #1 is idiopathic), or infection (coxsackie)
decreased CO,SV,
si/sx LVF & RVF = pulm edema, jvd, HSM, S3
dx: echo dilated LV, decreased wall motion
Restrictive CMP: muscle cant move, heart cant fill in diastole
hx infiltrative dz: amyloid, sarcoid, fibroelastosis etc
echo: thick ventricular wall (ddx constr.pericard=pericard thickening)
CT: normal pericardial thickness
Constrictive pericarditis: cant fill in diastole
hx pericarditis, radiation, heart surgery, TB(immigrants), viral infxn
si/sx: distant heart sounds, "pericardial knock"
CT/MRI: thick pericardium, pericardial calcifications
no ventricular wall thickening.
sometimes may require biopsy to differentiate constr pericarditis - restrictive CMP.
|
| smalley
Forum Elite
Topics: 54
Posts: 297
|
thanks peter
___________________
But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
|
| drhouse
Forum Elite
Topics: 23
Posts: 208
|
this is awesome,,,
thanks peter
___________________
everybody can do it.... its just matter of time
|
| mildus
Forum Guru
Topics: 19
Posts: 614
|
thanks, nice expl
|
|
| |
| | | | | |
