Questions and Answers
What is the purpose of echocardiography?
To create moving images of the heart using sound waves
A 65- year old gentleman presents to A&E with central crushing chest pain. Which is the most appropriate diagnosis?
Angiography
A 79-year-old man with 3 previous MI's develops breathlessness and puffy ankles. Select the correct pathophysiology.
Greater circulating volume causing capillary hydrostatic pressure
An 83- year-old lady presents with pinky frothy sputum and breathlessness when lying flat. Spot the diagnosis.
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You hear a murmur - S3 sound. Which is the imaging is the most appropriate test
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Investigations found the cause is femoral artery stenosis. Which imaging was used to discover this.
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A 49-year-old Caribbean lady develops headache and double vision. She thinks she has a brain tumour. Spot the diagnosis
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A 59-year-old smoker has tightening pain in his leg on dog walks which resolve when he stops and rest. Spot the diagnosis.
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What is the purpose of angiography?
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What are some outward signs of cardiovascular disease?
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What is the purpose of Doppler echocardiography?
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What is hypercholesterolemia?
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What is central cyanosis?
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What is the purpose of coronary angiography?
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What is Raynaud's phenomenon?
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What are some outward signs of hypercholesterolemia?
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What is the purpose of angiography?
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What is the indication for coronary angiography?
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What is the purpose of Doppler echocardiography?
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What are some symptoms of heart failure?
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What is the purpose of limb angiography?
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What is the purpose of echocardiography?
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What is the cause of Raynaud's phenomenon?
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What are the outward signs of hypercholesterolemia?
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What is the main symptom of heart failure?
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What is the difference between echocardiography and doppler echocardiography?
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What can central cyanosis be a sign of?
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Study Notes
Outward Signs and Symptoms of Cardiovascular Disease & Diagnostic Imaging in the Cardiovascular System
- General observation of patients with cardiovascular disease can reveal signs of the disease in the hands, face, neck, trunk, and lower limbs.
- Hypercholesterolemia can cause xanthomas, corneal arcus, and cutaneous xanthelomatosis.
- Raynaud's phenomenon is a spasm of arteries that can cause reduced blood flow in the hands, which can lead to gangrene in severe cases.
- Heart failure can cause peripheral edema, shortness of breath, fatigue, and coughing.
- Central cyanosis can be seen in patients with chronic respiratory and/or cardiovascular disease.
- X-ray imaging uses high frequency electromagnetic waves to produce images of the body, which can reveal the position and size/shape of the aortic arch, clear lung fields, cardiac size, and costophrenic angle.
- Echocardiography uses sound waves to create moving images of the heart and is indicated for suspected valvular heart disease, abnormal left ventricular function, left ventricular hypertrophy, atrial fibrillation, embolus with a suspected cardiac source, pericardial disease, pulmonary embolism, and congenital heart defects.
- Doppler echocardiography can map the forwards and backwards direction of blood flow.
- Angiography involves injecting radio-opaque dye into arteries and taking x-rays in real time to visualize the extent of perfusion of the arteries and their branches.
- Coronary angiography is indicated in patients with symptoms of cardiac ischaemia/infarction and can help determine the site of narrowing/blockage of the coronary arteries.
- Limb angiography uses the same technique as coronary angiography to visualize the arteries in a leg.
- Kahoot quiz is available to test understanding of the material.
Outward Signs and Symptoms of Cardiovascular Disease & Diagnostic Imaging in the Cardiovascular System
- General observation of patients with cardiovascular disease can reveal signs of the disease in the hands, face, neck, trunk, and lower limbs.
- Hypercholesterolemia can cause xanthomas, corneal arcus, and cutaneous xanthelomatosis.
- Raynaud's phenomenon is a spasm of arteries that can cause reduced blood flow in the hands, which can lead to gangrene in severe cases.
- Heart failure can cause peripheral edema, shortness of breath, fatigue, and coughing.
- Central cyanosis can be seen in patients with chronic respiratory and/or cardiovascular disease.
- X-ray imaging uses high frequency electromagnetic waves to produce images of the body, which can reveal the position and size/shape of the aortic arch, clear lung fields, cardiac size, and costophrenic angle.
- Echocardiography uses sound waves to create moving images of the heart and is indicated for suspected valvular heart disease, abnormal left ventricular function, left ventricular hypertrophy, atrial fibrillation, embolus with a suspected cardiac source, pericardial disease, pulmonary embolism, and congenital heart defects.
- Doppler echocardiography can map the forwards and backwards direction of blood flow.
- Angiography involves injecting radio-opaque dye into arteries and taking x-rays in real time to visualize the extent of perfusion of the arteries and their branches.
- Coronary angiography is indicated in patients with symptoms of cardiac ischaemia/infarction and can help determine the site of narrowing/blockage of the coronary arteries.
- Limb angiography uses the same technique as coronary angiography to visualize the arteries in a leg.
- Kahoot quiz is available to test understanding of the material.