I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Thursday, July 3, 2014
Spelunker
Challenge: These images from a 12 year old boy with exercise intolerance, chest pain, poor endurance, and shortness of breath show what?
This is pectus excavatum, a sternal depression beginning over the midportion of the manubrium and progressing inwardly through the xiphoid process. Panel A shows horizontally oriented posterior ribs (arrow), an ill defined right heart border (arrowhead), and vertically-oriented anterior ribs (dashed arrow). Panel B shows a posterior positioned sternum. Panel C shows a depressed sternum, compressed right atrium (arrowhead), and leftward displacement of the heart. Panel D also shows posterior displacement of the sternum and compression of the right atrium.
2 comments:
severe pectus excavatus with SVC compression?
well done!
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Spelunker
This is pectus excavatum, a sternal depression beginning over the midportion of the manubrium and progressing inwardly through the xiphoid process. Panel A shows horizontally oriented posterior ribs (arrow), an ill defined right heart border (arrowhead), and vertically-oriented anterior ribs (dashed arrow). Panel B shows a posterior positioned sternum. Panel C shows a depressed sternum, compressed right atrium (arrowhead), and leftward displacement of the heart. Panel D also shows posterior displacement of the sternum and compression of the right atrium.
Source: UpToDate.
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