The developmental anomaly shown in this image would result in which one of the following syndromes/conditions?

A. Horner’s syndromeB. Eisenmenger’s syndromeC. PneumothoraxD. Thoracic outlet syndrome

What vascular sign is used to detect this anomaly?

The developmental anomaly shown in this image would result in which one of the following syndromes/conditions?

A. Horner’s syndromeB. Eisenmenger’s syndromeC. PneumothoraxD. Thoracic outlet syndrome***

What vascular sign is used to detect this anomaly? Addison’s sign – loss of radial pulse upon abduction of arm above horizontal.

The skeletal anomaly shown in this image is:

A. Pectus excavatumB. Supernumerary 1st ribC. Pectus carinatumD. Supernumerary 12th rib

Note: “Pectus carinatum” is misspelled in the clinical supplement. There is

no condition called pectus cavinatum. Carina means “keeled” or “ridged”.

The skeletal anomaly shown in this image is:

A. Pectus excavatumB. Supernumerary 1st ribC. Pectus carinatum***D. Supernumerary 12th rib

Note: “Pectus carinatum” is spelled incorrectly in the clinical supplement. There

is no condition called pectus cavinatum. Carina means “keeled” or “ridged”.

The term “Widow-maker” refers to which one of the following branches of the coronary arteries?

A. Nodal branchB. Atrioventricular branchC. Marginal branch of right coronary arteryD. Proximal portion of left anterior descending arteryE. Distal portion of left anterior descending artery

The term “Widow-maker” refers to which one of the following branches of the coronary arteries?

A. Nodal branchB. Atrioventricular branchC. Marginal branch of right coronary arteryD. Proximal portion of left anterior descending artery***E. Distal portion of left anterior descending artery

It is because the LAD supplies most of the left ventricle whose contraction is essential for systemic circulation.

Lung Sounds

Pneumo, Hydro, & Hemo (Thorax)

Pneumo, Hydro, & Hemo (Thorax)

Tension Pneumothorax

Throacocentesis

The Heart

Auscultation of the Heart

Cardiac TemponadePericardiocentesis

Insertion of needle into pericardial cavity to draw off blood or pericardial fluid

The patient undergoing pericardiocentesis is positioned supine with the head elevated 30 to 60 degrees. This places the heart in proximity to the chest wall for easier insertion of the needle into the pericardial sac.

Anatomically, the procedure is carried under the xiphisternum up and to the left

Can also position needle through the 5th or 6th intercostal space at the left sternal border at the cardiac notch of the left lung.

Or through the infrasternal angle

Cardiac Radiology

Heart Dominance

80 % population Right Dominance10% Left dominance10% Co-dominance

Coronary vaculatiure highly variable

Coronary Vasculature (R. Dom)

Coronary Vasculature (L. Dom)

Coronary Angiographyhttp://askdrwiki.com/mediawiki/index.php?title=Coronary_Angiography#LEFT_CORONARY_ARTERY

LAO – Left Anterior Oblique viewRAO – Right Anterior Oblique view

Contraindications: Coagulopathy, Decompensated congestive heart failure, Uncontrolled Hypertension, Refractory Arrythmia, GI Haemorrhage Pregnancy, Inability for patient cooperation, Active infection, Renal Failure Contrast medium allergy

Coarctation of the Aorta

Aortic Dissection