Severe mitral regurgitation was caused by malfunction of this mechanical prosthetic valve (Bjork–Shiley). The strut fracture of the prosthetic valve led.

Slides:



Advertisements
Similar presentations
CMS-1500 Outpatient Medical Service Claim Form
Advertisements

In a more severe dissection there can be complete occlusion of the internal carotid artery. The patient above has a normal common carotid artery (CCA)
A. In the parasternal long-axis view, the aortic valve (Ao) is anterior. There is lack of fibrous continuity between the atrioventricular valve and the.
Color Doppler. Color Doppler measures the frequency shift and displays it as color over the gray scale image. Note the color scale to the left of the ultrasound.
Reproduced with permission from Albert MA, Ridker PM
The Ontario Lung Association Pediatric Asthma Care Pathway
Acute irritant contact dermatitis on the hand due to an industrial solvent There is massive blistering on the palm. Source: Eczema/Dermatitis, Fitzpatrick's.
CT showed the fat/blood level in the suprapatellar bursa (E, arrow) and a subtle nondisplaced tibial plateau fracture (F, arrow). Source: Chapter IV-3.
Adapted from Weiss et al. J Am Coll Cardiol. 1998;31:
A widely displaced fracture of the distal radius
A-D: PA, oblique, lateral, and scaphoid views of the right wrist show a subtle fracture through the scaphoid waist. The fracture is seen best on the scaphoid.
A-C: AP mortise and lateral views of the right ankle show a subtle nondisplaced fracture of the lateral malleolus. The fracture is best seen on the mortise.
Using the prosthesis as an assisting hand
The LifeStat system is an example of a piston compression device
(A) ECG showing sinus tachycardia with the rate of 123 bpm
Scaphoid fracture. A. Scaphoid fracture nonunion. B
On this ECG from a patient with wandering atrial pacemaker, the R–R intervals vary from beat to beat, creating an irregularly irregular rhythm. Note the.
Atopic dermatitis Figures 9-14 and 9-15 illustrate skin that is scaly and lichenified. The treatment of atopic dermatitis should include the establishment.
An AP view of the proximal right femur shows a healing stress fracture in the lateral cortex of the proximal right femoral diaphysis (arrowhead). This.
Epilepsy is an important predictor of poor intellectual outcome in the children with hydrocephalus with shunts. Epilepsy was significantly affected by.
Reaction mechanism of the Michael addition reaction between a nucleophile and a polarized double bond. Source: Nucleophilic Substitution, Addition, and.
Traumatic exophthalmos
A 5-French sheath has been placed in the right radial artery in preparation for cardiac catheterization. A hemostatic valve on the sheath allows catheter.
King of Hearts monitor. The device is attached to the patient and easily activated when symptoms arise. Record button is on top; out of view. The send.
CT scan showing two large gallstones that have a rim of calcification (large arrows). (From Schwartz DT, Reisdorff EJ. Emergency Radiology. New York: McGraw-Hill;
A four-point force system is used in a knee brace to prevent knee hyperextension and anterior tibial translation. (AP, anterior to posterior force; PA,
Color Doppler demonstrating high-velocity flow through the narrow aortic valve in a fetus with aortic stenosis. Source: Aortic Stenosis, Fetology: Diagnosis.
Hard corn in a typical location on the dorsum of the fifth digit
The processing of microRNA that is involved in gene regulation by RNA interference. (Reprinted with permission from Brooker RJ: Genetics: Analysis & Principles,
Juvenile rheumatoid arthritis Faint erythematous, urticarial plaques on the torso of a child. Source: Section 17. Autoimmune Connective Tissue Diseases,
(A) Transverse sonographic image of the right kidney shows small echogenic focus (arrow) in the right kidney, without definite acoustical shadowing. (B)
Aliasing on a Doppler waveform, a consequence of the Doppler frequency being greater than having the pulse repetition frequency. Source: Chapter 2. Instrumentation,
Estimated number of AIDS cases and AIDS deaths, United States, 1985–2011. (From CDC.) Source: Human Immunodeficiency Virus Disease: AIDS and Related Disorders,
Adapted with permission from Hsia, J et al
A-C: Axial, coronal, and sagittal CTA images demonstrate a large filling defect in the main right pulmonary artery consistent with a large pulmonary embolism.
Therapeutic injection site on the medial heel for plantar fasciitis
Plantar fasciitis. Photograph of the plantar aspect of the foot demonstrating the area of maximal tenderness for proximal plantar fasciitis. (From Imboden.
A Pavlik harness is used to treat infants with developmental dysplasia of the hip. Source: Orthoses for Paraplegia or Hip Impairments, Prosthetics & Orthotics.
(A) CT Angiogram, 3D volume rendering of Stanford Type B aortic dissection extending from just distal to left subclavian artery origin into the abdominal.
This defibrillator device has been set to synchronized “SYNC” mode
A. Prosthetic St. Jude's Regent Mechanical Heart Valve is shown with the 2 metallic leaflets in the “open” position. (Acknowledgement: Regent is a trademark.
A. Prosthetic St. Jude's Regent Mechanical Heart Valve is shown with the 2 metallic leaflets in the “open” position. (Acknowledgement: Regent is a trademark.
Aortic insufficiency (regurgitation)
This infant developed typical arcuate lesions on the face
Coronal color Doppler ultrasound image of the posterior chest showing a large multicystic mass in the left lung (arrows). The aorta is seen, and it does.
(A) Ultrasound of a midtrimester 18 weeks fetus showing bowel extruded (dashed arrows) to the right of the umbilical cord insertion (arrow). No membrane.
Testing the first MTP joint motion. (From Dutton M
Catheterization laboratories contain monitors, radiography equipment, sterile supplies, emergency carts, and other equipment necessary to perform the procedure.
Venous Doppler ultrasound for DVT
A. Use of athletic tape to make an extension block for the wrist. B
Normal left kidney. Longitudinal coronal transducer position (A) and long-axis ultrasound image of the kidney (B). Transverse coronal transducer position.
Imaging studies in a patient with cervical spondylosis and chronic neck pain. (A) Radiograph showing collapsed disk space between C5 and C6 and a large.
A young male child was referred for evaluation of sexual abuse
The straight leg knee immobilizer brace
Hip disarticulation prosthesis with bucket-style socket and anterior mount hip joint. Source: Lower Limb Amputation, Rehabilitation, & Prosthetic Restoration,
Corneal metallic foreign body (FB) is shown (A) and FB being removed by needle at slit lamp is shown (B). (Photo contributor: Douglas R. Lazzaro, MD.)
Beck Airway Airflow Monitor (BAAM)
[From: Galli : et al: Emergency Orthopedics: The Spine
A lateral view radiograph in this 75-year-old woman reveals significant loss of bone density as the upper lumbar and lower thoracic vertebral bodies are.
A, B: Transvaginal images now demonstrate a rounded yolk sac within the gestational sac. Source: Chapter 7. Atraumatic Conditions of the Abdomen, The Atlas.
The nomogram is also not useful if the time of ingestion is uncertain, if ingestion occurred more than 24 hours before presentation, or if repeated ingestion.
Color Doppler of right kidney—longitudinal views
Hip Fracture. Patients with hip fractures often present with the affected extremity shortened, externally rotated, and abducted. Note the rotation and.
Spina bifida occulta. The arrows point to a swelling above the buttocks. (From Waxman SG. Clinical Neuroanatomy. 26th ed.
Evaluation of microcytic anemia
Matteo Trezzi, MD, Scott M. Bradley, MD, Andrew J. Savage, MD, Minoo N
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
 (A) Transthoracic echocardiogram in a modified apical four chamber view showing thickened and rigid tricuspid valve (TV) leaflets in an abnormal, fixed.
Presentation transcript:

Severe mitral regurgitation was caused by malfunction of this mechanical prosthetic valve (Bjork–Shiley). The strut fracture of the prosthetic valve led to dislodgment of the occluding disc leaving the mitral valve wide open (A) associated with severe mitral regurgitation illustrated by color Doppler study (B). Source: PRINCIPLES OF CARDIOVASCULAR IMAGING, Atlas of Cardiovascular Emergencies Citation: Lefebvre C, O'Neill JC, Cline DM. Atlas of Cardiovascular Emergencies; 2015 Available at: http://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1206/lefebvre_ch3_fig-03-31.png&sec=72943052&BookID=1206&ChapterSecID=72942967&imagename= Accessed: December 27, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved