Dr. Usman's Cardiology Notes

  A 4 year old child with fever for 2 weeks, Strawberry tongue, Erythema & Edema of hands & Feet and Cervical Lymphadenopathy.  Parasternal short Axis view on echocardiogram is showing dilated left main coronary artery measuring 11.1 mm, this finding together with the signs and symptoms are consistent with the diagnosis of kawasaki disease.  What is kawasaki disease?  The hallmark of kawasaki disease (KD) is fever lasting 5 days or more, counting the day of fever onset as day 1, in addition to cracking of lips or strawberry tongue, nonpurulent conjunctivitis, rash, erythema and edema of the hands and feet, and large unilateral cervical lymphadenopathy.  Diagnosis for Cardiac Complications includes Echocardiography, which is the study of choice to evaluate for Coronary artery dilations and aneurysms, in both fully manifested and suspected incomplete cases of kawasaki disease. Serial echocardiograms should be obtained, preferably at the time of KD diagnos...

SubValvular Stenosis due to SubAortic Membrane on Echocardiography     #echocardiography #cardiology

  A 44 year old male presented with dyspnea and Palpiations with systolic murmur on examination. Try to spot the findings in these echocardiography clips and make a diagnosis. Answer will be explained in latter half of the video.    Case 102: FINDINGS:  PLAX and PSAX view showing thickened Mitral valve leaflets with Prolapse of Posterior Mitral Valve Leaflet (PMVL). Measurements are suggestive of dilated Left ventricle. Color Doppler in Apical four chamber and three chamber views showing late systolic moderate mitral regurgitation. Difference between Flail and Prolapse: In prolapse tip of the leaflet is not evulsed into the LA, only the leaflet body is protruding into LA, whereas in flail tip of the leaflet is hanging into LA due to ruptured chords.