Cardiology Pearls

by Blase A. Barbello

Paper Book, 2001

Status

Available

Call number

IBMC and ISMC Library - WG 18.2 C2695 2001

Publication

Philadelphia : Hanley and Belfus, 2nd edition

ISBN

1560534036 / 9781560534037

Description

This book presents 125 actual cardiology cases in the unique Pearls format. Each case is presented by a brief clinical description, followed by a physical examination, laboratory findings, and a radiograph. The reader is then asked to formulate a diagnosis and/or a treatment plan. The next page reveals the diagnosis, provides a clear discussion, distills three or four pearls of practice from each case, and presents several key references.

Local notes

CONTENTS:
1.. A 41-year-old man with exertional chest pain -- 2.. A 60-year-old woman with heaviness in both arms and weakness -- 3.. A 45-year-old man with coronary artery disease and normal lipids except for low HDL -- 4.. A 42-year-old man with sharp left chest pain when running -- 5.. A 14-year-old girl with chest pain and rapid heart beat -- 6.. A 53-year-old man with chest pain and a left bundle branch block -- 7.. A 64-year-old man with congestive heart failure -- 8.. A 51-year-old woman with dyspnea -- 9.. A 63-year-old hypertensive man with a new murmur and chest pain -- 10.. A 59-year-old woman with slow heart rate -- 11.. A 75-year-old woman with an acute infarction and ventricular arrhythmias -- 12.. A 25-year-old man with dyspnea and orthostatic dizziness -- 13.. A 35-year-old man an abnormal EKG -- 14.. A 46-year-old woman with abdominal pain and syncope -- 15.. A 32-year-old man with recurrent syncope -- 16.. A 59-year-old woman with an abnormal electrocardiogram -- 17.. A 69-year-old confused man with elevated temperature and tachycardia -- 18.. A 73-year-old woman with persistent atrial fibrillation -- 19.. A 56-year-old diabetic woman with an acute anterior myocardial infarction, right bundle branch block, and left anterior superior fascicular block -- 20.. A 48-year-old woman with cardiomyopathy -- 21.. A 45-year-old man with no known coronary artery disease and hypercholesterolemia -- 22.. A 45-year-old man with coronary artery disease and normal lipids -- 23.. A 50-year-old woman with coronary artery disease and noninsulin-dependent diabetes -- 24.. A 74-year-old man with an aortic valve homograft and congestive heart failure -- 25.. A 45-year-old man with substernal chest pain -- 26.. A 43-year-old man with end-stage renal disease on dialysis -- 27.. A 50-year-old man with recurrent chest pain on exertion and at rest -- 28.. A 59-year-old man with cough, dyspena, and electrical alternans -- 29.. A 64-year-old man with intermittent chest pain responsive to nitroglycerin -- 30.. A 65-year-old woman with hypertension and chronic atrial fibrillation -- 31.. A 22-year-old man with an abnormal electrocardiogram -- 32.. A 55-year-old man with a complication of acute myocardial infarction -- 33.. An 18-year-old man with frequent premature ventricular beats -- 34.. An 18-year-old man with palpitations, lightheadedness, and an abnormal electrocardiogram -- 35.. A 72-year-old woman on quinidine with presyncopal episodes -- 36.. A 60-year-old man with an acute inferior myocardial infarction and pulmonary edema -- 37.. A 60-year-old man with acute interscapular pain and a cold right hand -- 38.. A 35-year-old man who received thrombolytic therapy for chest pain and ST elevation -- 39.. A 26-year-old woman with headache, nausea, blurred vision, and an abnormal electrocardiogram -- 40.. A 56-year-old man on digoxin with supraventricular tachycardia -- 41.. A 42-year-old man with stable angina referred for a thallium stress test -- 42.. A 62-year-old man with nausea and an arrhythmia -- 43.. A 55-year-old woman with episodes of wide QRS tachycardia -- 44.. A 60-year-old man with severe chronic obstructive lung disease and edema -- 45.. A 52-year-old man with chest pain and a normal coronary arteriogram -- 46.. A 63-year-old man with sudden cardiac death -- 47.. A 54-year-old woman with coma and ST-segment electrocardiographic abnormalities -- 48.. A 35-year-old apparently healthy man with profound T-wave abnormalities -- 49.. A 34-year-old woman with a wide QRS tachycardia -- 50.. A 40-year-old man with cyanosis and palpitations -- 51.. A 68-year-old woman with lower-extremity weakness -- 52.. A 66-year-old man with a heart rate of 38 bpm -- 53.. A 40-year-old man with chronic malaise and sudden numbness in the right arm -- 54.. A 52-year-old man with right bundle branch block -- 55.. A 45-year-old man with hypotension following an acute inferior myocardial infarction -- 56.. An 84-year-old man with chest pain and a left bundle branch block -- 57.. A 36-year-old male drug abuser with chest pain -- 58.. A 59-year-old man with recent onset of atrial fibrillation -- 59.. A 67-year-old woman with an acute anterior myocardial infarction treated with thrombolytic therapy -- 60.. A 72-year-old man with episodes of lightheadedness -- 61.. A 54-year-old man with a basal systolic murmur and right bundle branch block -- 62.. A 62-year-old man with syncope after voiding -- 63.. A 65-year-old woman with an acute inferior infarction and premature ventricular beats -- 64.. A 70-year-old woman with transient ischemic attacks and a cold right hand -- 65.. A 70-year-old alcoholic man with sinus bradycardia and confusion -- 66.. A 57-year-old woman with episodes of palpitations not controlled with carotid sinus message -- 67.. A 60-year-old woman with sluggishness, fatigue, and chest pain -- 68.. A 24-year-old man with substernal chest pain that worsened with inspiration -- 69.. A 52-year-old man with early morning chest pain -- 70.. A 44-year-old man with severe chest pain and an abnormal electrocardiogram -- 71.. A 32-year-old woman with episodes of rapid heart beat -- 72.. A 67-year-old man with chest pain following a motor vehicle accident -- 73.. A 62-year-old man with hypertension, atypical chest pain, and an abnormal electrocardiogram -- 74.. A 52-year-old man with an anterior myocardial infarction managed with thrombolytic therapy -- 75.. A 28-year-old man with hypotension and a continuous murmur -- 76.. A 7-year-old boy with an acute myocardial infarction -- 77.. A 68-year-old man with recurrent heart failure and a systolic murmur -- 78.. A 45-year-old woman with exertional angina -- 79.. A 30-year-old man with fever, chills, and a new heart murmur -- 80.. A 45-year-old man with intractable congestive heart failure -- 81.. A 23-year-old retarded woman with acute chest pain -- 82.. A 25-year-old intravenous drug user with fever, chills, anorexia, and weight loss -- 83.. A 51-year-old man with poorly controlled hypertension and pulmonary edema -- 84.. A 56-year-old woman with palpitations and chest pain -- 85.. A 54-year-old man with low voltage on electrocardiogram -- 86.. A 40-year-old man with decreased exercise tolerance and a diastolic heart murmur -- 87.. A 35-year-old woman with a deep venous thrombosis and a cold right arm -- 88.. A 40-year-old man with dyspnea and acyanotic congenital heart disease -- 89.. A 55-year-old man with an aortic valve prosthesis, fever, and first-degree atrioventricular block -- 90.. A 58-year-old man with weight loss and a heart murmur -- 91.. A 73-year-old man with pulmonary edema and a normal ejection fraction -- 92.. A 28-year-old man with progressive fatigue, dyspnea, and cyanosis -- 93.. A 24-year-old African-American woman with dyspnea on exertion and fatigue following childbirth -- 94.. An 18-year-old man with dyspnea and lower-extremity cyanosis -- 95.. A 71-year-old man with an acute myocardial infarction and a new heart murmur -- 96.. A 46-year-old obese man with acute chest pain and dyspnea following surgery -- 97.. A 52-year-old man with increasing abdominal girth and peripheral edema 10 years following a motor vehicle accident -- 98.. A 72-year-old woman with hyperpyrexia on beta-blocker therapy -- 99.. A 53-year-old woman with mitral stenosis and left upper- and lower-extremity weakness -- 100.. A 76-year-old man with a mitral valve prosthesis and on anticoagulation who requires rectal polypectomy -- 101.. A 45-year-old man with improved ventricular function after coronary bypass surgery -- 102.. A 53-year-old man with dyspnea on exertion and a heart murmur following an episode of acute chest pain -- 103.. A 19-year-old woman with cyanosis and a heart murmur -- 104.. A 42-year-old morbidly obese woman with dyspnea -- 105.. A 44-year-old man with a heart murmur and hypertension
106.. A 55-year-old man with an abnormal thallium scan 2 years after heart transplantation -- 107.. A 30-year-old intravenous drug user with fever and acute pulmonary edema -- 108.. A 62-year-old man with a systolic ejection murmur and progressive dyspnea -- 109.. A 38-year-old man with a chronic murmur and rapidly progressive congestive heart failure -- 110.. A 49-year-old man with congestive heart failure and weight loss -- 111.. A 54-year-old man with arthralgias and dyspnea -- 112.. A 49-year-old physician with congestive heart failure and acute left hemiparesis -- 113.. A 28-year-old woman with chest pain and a positive stress test -- 114.. A 46-year-old woman with fever and a pericardial effusion -- 115.. A 65-year-old man with electrocardiographic changes following abdominal surgery -- 116.. A 62-year-old man with arrhythmias, heart failure, and increasing dyspnea -- 117.. A previously healthy 25-year-old man with pneumonia and shock -- 118.. A 55-year-old man with a Starr-Edwards aortic valve and progressive dyspnea -- 119.. A 28-year-old pregnant patient with heart failure in the second trimester -- 120.. A 34-year-old man with a 10-year history of a heart murmur -- 121.. A 65-year-old woman with mitral stenosis and upper right quadrant pain -- 122.. A 54-year-old man in shock following a myocardial infarction -- 123.. A 55-year-old renal transplant patient with hypertension, pulmonary edema, and tinnitus -- 124.. A 62-year-old man with signs and symptoms of congestive heart failure and a large cardiac silhouette -- 125.. A 28-year-old hunter with syncope.
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