interesting case rounds gabriel piper march 3 rd 2011 n.
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Interesting Case Rounds Gabriel Piper March 3 rd , 2011. 38 yo M Sent in from WIC with Chest Pain. 105,110/70, 20, 87% RA 95% 4 L. JVP 5 cm, S3, Apex beat sustained and displaced laterally. Crackles heard in bases bilaterally. No leg edema, tenderness or erythema. Hgb 180 plts 199

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Interesting Case Rounds Gabriel Piper March 3 rd , 2011


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slide2

38 yo M

Sent in from WIC with Chest Pain

slide4

105,110/70, 20, 87% RA 95% 4 L

JVP 5 cm, S3, Apex beat sustained and displaced laterally

Crackles heard in bases bilaterally

No leg edema, tenderness or erythema

slide5

Hgb 180

plts 199

WBC 12.2

Lytes Normal

Cr 128

Glucose 6.7

TnT neg

D-dimer 0.73

causes of dcm
Causes of DCM
  • Familial
  • Chronic excessive alcohol consumption
  • Other drugs
    • Heavy metals
    • Emetine
    • Anthracyclines (daunorubicin and doxorubicin)
    • Cocaine
    • Methamphetamine
    • Cobalt
  • Infections
    • Viral endocarditis/myocarditis (coxsackievirus, adenovirus, parvovirus, human immunodeficiency virus [HIV])
    • Parasites
    • Protozoa
    • Chagas disease (most common cause in parts of South America)
  • High-output states
    • Anemia
    • Thyrotoxicosis
    • Pregnancy
  • Collagen vascular disease
  • Glycogen storage disease, type IV also known as Andersen disease
  • Thiamine deficiency and zinc deficiency
  • Hypophosphatemia
  • Amyloidosis
  • Neuromuscular disorders (Duchenne/Becker and Emery-Dreifuss muscular dystrophies)
  • Pheochromocytoma