need help with your account or subscription? click here to email us (or see the contact page)
share email twitter ⋅ join discord whatsapp(2ck)
Free 120  NBME 25NEW!  NBME 24  NBME 23  NBME 22  NBME 21  NBME 20  NBME 19  NBME 18  NBME 17  NBME 16  NBME 15  NBME 13 ⋅ Step 2 CK Free 120  Step 2 CK Form 6  Step 2 CK Form 7  Step 2 CK Form 8 
search for anything ⋅ score predictor (โ€œpredict me!โ€)
NBME p2ck_fr Answers

step2ck_free120/Block 2/Question#68 (reveal difficulty score)
A 5-year-old girl is brought to the physician ...
Echocardiography ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ
tags:

Login to comment/vote.


 +9 
submitted by โˆ—lilyo(93),
unscramble the site ⋅ become a member ($99/month)

reclseciTnyat omst mnmooc esarved ectffse ear eieaunhtraroa/vim/dsa nda yotvieptis.sohnti naC tfacfe osenb adn hteet of ownbern if nvige to tnregpan .omnwe Aosl ihst drug slcsa csvore S,AG ,GBS /+- A,RSM reiyprartso lrfao nad ltnlcrilauer.a

hWy rCiop si ont eth n:ewars drcoleaiM rcosev NRG + sdPueo, fhreeoret ton a treteatnm fro neca (nisk .o)lfar ndA mnomco dseraev fecefts era fCDfi. cfion,neti QT oaol,itgnpnro nodtne rte,urpu niarteoegct .tcesffe


 +0 
submitted by โˆ—azibird(256),

Why echo and not angiography?

From UTD:

Aortic disease

As recommended in the 2010 American College of Cardiology/American Heart Association/American Association for Thoracic Surgery thoracic aorta guidelines, echocardiography is recommended at initial diagnosis and at six months to assess the aortic root and ascending aorta in patients with MFS

Approach to diagnosis of MFS

MFS is most commonly diagnosed using the 2010 revised Ghent Criteria. These are based on the presence or absence of family history, physical examination, imaging of the aorta, and genetic testing in some cases.

The revised Ghent nosology puts greater weight on aortic root dilatation/dissection and ectopia lentis as the cardinal clinical features of MFS and on testing for mutations in FBN1. For the aortic criteria, aortic root Z score calculators are available for children and adults.

In the absence of family history of MFS

For individuals without a family history of MFS, the presence of one of any of the following criteria is diagnostic for MFS:

  • Aortic criterion (aortic diameter Z โ‰ฅ2 or aortic root dissection) and ectopia lentis.

  • Aortic criterion (aortic diameter Z โ‰ฅ2 or aortic root dissection) and a causal FBN1 mutation.

  • Aortic criterion (aortic diameter Z โ‰ฅ2 or aortic root dissection) and a systemic score โ‰ฅ7.

  • Ectopia lentis and a causal FBN1 mutation that has been identified in an individual with aortic aneurysm.

https://www.uptodate.com/contents/genetics-clinical-features-and-diagnosis-of-marfan-syndrome-and-related-disorders

https://pubmed.ncbi.nlm.nih.gov/20591885/

TL;DR Echo for aortic diameter




 +0 
submitted by โˆ—bwdc(677),
unscramble the site ⋅ become a member ($99/month)

Mnfara dsnormye uoy( nwko, hdeitn ta by hte aifialml tlla trsaetu nda akew lerpmbeoihy ntj)sio is toaescdias whti a dleaynrdes/uailatm ioratc oort, ichhw nca esorw,n scteids ano/dr uretupr fi ont .rtdnmooie




search for anything NEW!