![]() These values are consistent with a dilated cardiomyopathy.ĭilated cardiomyopathy is a disorder characterized by a poorly functioning left ventricle in the absence of ischemic disease, and with normal loading conditions on the heart (no evidence of longstanding hypertension or valvular disease). The estimated ejection fraction is 9% and the LV internal diameter measures 6.36cm at end diastole and 6.25cm at end systole. The TTE images above shows a dilated left ventricle with severely reduced systolic function. What is the most likely etiology behind this patient's multi-organ dysfunction? Answer Troponin 0.07 µg/L, BNP 2,493 pg/ml, lactate 11.2 mmol/LĮKG: Sinus rhythm with a normal axis and a previously documented left bundle branch blockĬhest Radiograph: Bilateral pleural effusions, hilar congestion, cardiomegaly Mild scleral icterus, jugular venous distension, bibasilar crackles, regular rhythm without murmurs bilateral pitting edema to thighs, cool extremities.īUN 68 mg/dL, Cr 1.43 mg/dL, ALT 3269 U/L, AST 4150 U/L, Bilirubin 3.6 mg/dL, INR: 8.2, WBC 13.8 k/µL On admission, she presented tachypneic, somnolent, and toxic appearing.īP: 97/57, HR 97, RR 24, Sa0 2 86% on room air. Prior to her hospitalization, she reported several months of mild dyspnea with exertion and intermittent lower extremity edema. Over the subsequent weeks she began to develop increasing dyspnea on exertion, nonproductive cough, nausea, and generalized malaise. Options include medicines, educational and occupational therapy, dermabrasion, and surgery.Echocardiography in Acute Multi-Organ DysfunctionĪndrew Badke, MD Pulmonary and Critical Care Medicine Fellow University of Utah School of MedicineĪ 59 year-old female was discharged 10 days ago after receiving anticoagulation for a subsegmental pulmonary embolism that was provoked by surgical fixation of a tibial fracture. ![]() Tuberous sclerosis has no cure, but treatments can help symptoms. In rare cases, tumors in vital organs or other symptoms can be life-threatening. In some people the disease is mild, while in others it causes severe disabilities. In others it can take time for the symptoms to develop. Some people have signs of tuberous sclerosis at birth. skin problems, such as light patches and thickened skin.Symptoms vary depending on the location of the tumors. Tuberous sclerosis is a rare genetic disease that causes noncancerous tumors to grow in the brain and other organs.First signs usually occur during infancy or childhood but in rare cases may not occur until 2nd or 3rd decade. Hereditary disease characterized by seizures, mental retardation, developmental delay, and skin and ocular lesions.Mutations in two loci tsc1 and tsc2 that encode hamartin and tuberin, respectively, are associated with the disease. It is also associated with cortical tuber and hamartomas formation throughout the body, especially the heart, kidneys, and eyes. There is, however, considerable heterogeneity in the neurologic manifestations. Autosomal dominant neurocutaneous syndrome classically characterized by mental retardation epilepsy and skin lesions (e.g., adenoma sebaceum and hypomelanotic macules).Autosomal dominant disease characterized principally by the presences of hamartomas of the brain, retina, and visera clinical manifestations include mental retardation, seizures, and adenoma sebaceum of the face.A triad of epilepsy, mental retardation, and angiofibromas of numerous organs with intracranial hamartomatous lesions involving subependymal nodules and cerebral cortical tubers (hence the name "tuberous sclerosis.".This disease can cause seizures, mental disabilities, and different types of skin lesions. A genetic disorder in which benign (not cancer) tumors form in the kidneys, brain, eyes, heart, lungs, and skin.
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