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Quick Scroll 09.08.07 (8 months ago) #21
Thanx hugepuppy icon_smile.gif
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Quick Scroll A 28 year old man 09.13.07 (8 months ago) #22
A 28 year old man has a family history of sudden cardiac death at a young age. Physical examination shows an ejection systolic murmur that decreases in intensity when the patient lies down and increases in intensity when the patient stands up . An ECHO shows abnormal anterior movement of the mitral leaflet against an asymetrically thickened interventricular septum. What is ur diagosis ???

This is a very easy one......if you can give the reasons for ur answer it wouuld be better...........!
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Quick Scroll 09.13.07 (8 months ago) #23
abnormal movt. of anterior valve leaflet... d/t aortic regurgitation.. caused by improper opening n closure of thickened valves..
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Quick Scroll the answer is 09.14.07 (8 months ago) #24
the answer i expected is Hypertrophic obstructive cardiomyopathy...
Rashmilla u were right in sayin there is an anterior mvmt of the anterior mitral leaflet.....it occurs during systole....In HOCM the septum is thickened and the mitral valve comes in apposition with it in manoeveures which decrease the end diastolic volume like standing up etc....whereas sleeping would increase the VR and so Increase the murmur of HOCM..........also drugs which slow down the heart like Beta blockers and CCB's increase the intensity of the murmur........
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Quick Scroll 09.15.07 (8 months ago) #25
Only RxPG members can see links here! Register or Sign In!
forum for discussing case senarios
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Quick Scroll a middle aged adult .... 09.17.07 (8 months ago) #26
a patient comes to you as a part of a health checkup...you are an opthalmologist....you do routine eye examination...on doing opthalmoscopy you find optic disc cupping and on doing perimetry scotomas are found to be present........the IOP is found to be 14mm of Hg..what would be your line of treatment and whats ur diagnosis?????

fundoscopy
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Quick Scroll 09.18.07 (8 months ago) #27
hypotensive glaucoma..
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Quick Scroll cool cosmesis.. 09.18.07 (8 months ago) #28
cool cosmesis..........thats perfectly right ......its a Lowtensio Glaucoma(LTG) or a Normotensive Glaucoma (NTG) ......... can u give the rationale so that others can benefit..........Do Post Cases..........Happy learning
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Quick Scroll 05.09.08 (6 days ago) #29
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Quick Scroll 05.09.08 (6 days ago) #30
Musafir wrote:
Advertising not allowed in rxpgonline


icon_eek.gif icon_eek.gif icon_eek.gif

which advertisement r u talking about..?

I think u have not gone thru the pages of this thread.. For ur kind information..this thread is meant for case discussion..
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