Patient Studies in Valvular, Congenital, and Rarer Forms of Cardiovascular Disease

Franklin B. Saksena, MD, CM, FACP, FRCP(C), FACC, FAHA and member of American Society of Echocardiography.
 
Dr. Saksena served as a Senior Attending Physician in the Department of Cardiology at Stroger Hospital of Cook County, Chicago for over 32 years. He remains active at Stroger Hospital of Cook County as a Voluntary Attending Physician in Adult Cardiology. While working for Cook County Hospital he was Director of the Cardiac Catheterization lab and for a period was Acting Chief of Cardiology.
 
Dr. Saksena is currently an Associate Professor of Clinical Medicine at Northwestern University and an Assistant Professor of Medicine at Rush Medical School. He also maintains a part-time private practice in Cardiology and Internal Medicine at Swedish Covenant Hospital and St. Mary of Nazareth hospitals.

Test your knowledge or prepare for Boards with this collection of unusual and challenging patient studies focused on detecting valvular, congenital or vascular disease.
* Contains over 90 case histories with self-test questions designed to test the reader's knowledge and reinforce clinical best practices
* Focuses on diseases of valvular, vascular or congenital origin, and on comparatively rare disorders/diseases, rather than coronary artery disease, to help readers improve their skills at interpreting and making decisions based on physical examination and basic, non-invasive imaging modalities
* Each case is paired with original materials - e.g. x-rays, echocardiograms, lab reports, charts - so readers can work through their diagnosis using the same information as the physician who treated the patient originally
* An ideal companion for those approaching board review or recertification or who want to improve skills in physical diagnosis of cardiovascular disease

Test your knowledge or prepare for Boards with this collection of unusual and challenging patient studies focused on detecting valvular, congenital or vascular disease.

About the Author vii
 
Preface ix
 
Acknowledgments xi
 
Abbreviations xiii
 
Worked Example xv
 
Companion Website xix
 
Patient Study 1 46-year-old chronic alcoholic man with heart failure and sudden death (1968) 1
 
Patient Study 2 24-year-old man with dyspnea, edema, and a heart murmur (1973) 7
 
Patient Study 3 27-year-old man with hemoptysis and dyspnea (1973) 19
 
Patient Study 4 22-year-old female with exertional chest pain and palpitations (1974) 23
 
Patient Study 5 40-year-old man and the perils of walking in the street (1997) 30
 
Patient Study 6 54-year-old man with dyspnea and a lifelong murmur (1974) 37
 
Patient Study 7 26-year-old man with an asymptomatic heart murmur (1979) 44
 
Patient Study 8 20-year-old man with chest pain and a life-long heart murmur (1979) 50
 
Patient Study 9 23-year-old female with heart failure and a heart murmur (1975) 59
 
Patient Study 10 17-year-old man with fever, myalgias, and a heart murmur (1977) 71
 
Patient Study 11 24-year-old man with left leg pain (1977) 80
 
Patient Study 12 48-year-old female with dyspnea (1976) 87
 
Patient Study 13 19-year-old man with easy fatiguability, cyanosis, and clubbing (1977) 93
 
Patient Study 14 29-year-old man with an asymptomatic murmur and an abnormal chest X ray (1977) 100
 
Patient Study 15 32-year-old man with a history of dyspnea and syncope over last 38 years (1967) 107
 
Patient Study 16 55-year-old female with chest pain and hematemesis (1993) 120
 
Patient Study 17 27-year-old man with decreased exercise tolerance and a heart murmur (1982) 126
 
Patient Study 18 29-year-old man with pleuritic chest pain, dyspnea, and cardiomegaly (1985) 135
 
Patient Study 19 25-year-old man with new onset of hemoptysis (1986) 142
 
Patient Study 20 80-year-old man with hemoptysis and dyspnea (1998) 149
 
Patient Study 21 21-year-old man with hemoptysis, cyanosis, and a heart murmur (1989) 157
 
Patient Study 22 23-year-old female with chest pain and visual symptoms (1992) 167
 
Patient Study 23 Approximately 40-year-old man with new onset of a murmur and heart failure (1975) 173
 
Patient Study 24 54-year-old female with altered mental status (1993) 182
 
Patient Study 25 74-year-old female admitted with abdominal pain followed by shock (1994) 187
 
Patient Study 26 Approximately 82-year-old female admitted with recurrent lower GI bleeding and a known abdominal aortic aneurysm (2001) 191
 
Patient Study 27 41-year-old female with chest pain and a heart murmur (1994) 197
 
Patient Study 28 48-year-old man with leg numbness and weakness (1994) 201
 
Patient Study 29 67-year-old female with chest pain and a new heart murmur (1995) 208
 
Patient Study 30 62-year-old man with chest pain and hypertension (1996) 214
 
Patient Study 31 17-year-old female with fatigue and a heart murmur (1997) 219
 
Patient Study 32 31-year-old female with fatigue and syncope (1997) 224
 
Patient Study 33 33-year-old female with dyspnea, edema, and a murmur (1995) 231
 
Patient Study 34 21-year-old man with dyspnea and chest pain (1995) 238
 
Patient Study 35 54-year-old man with chest pain, hypertension, and abdominal pain (2005) 245
 
Patient Study 36 19-year-old female with aching legs on exertion (1995) 249
 
Patient Study 37 58-year-old man with dyspnea, chest pain, and Sjorgen's syndrome (1996) 256
 
Patient Study 38 37-year-old ex cocaine user with dyspnea and a heart murmur (1998) 261
 
Patient Study 39 24-year-old female with a heart murmur (1997) 266
 
Patient Study 40 34-yea