Heart Murmur: Diagnostic Tools

Endophthalmitis and a Heart Murmur.

A 48-year-old man, a heavy smoker and drinker, came to the emergency department complaining of pain, redness, and vision loss in his left eye (Figure A). Physical examination revealed a body temperature of 38.7 8C and hyperemic left conjunctiva. His oral hygiene was clearly poor and he was missing a number of teeth. Auscultation disclosed the presence of a systolic murmur at the left sternal bo...

Heart Murmur in a Child

Cardiac murmur is frequently recognized in healthy children, but it can also be the presenting feature in many forms of congenital heart disease, including regurgitation or stenosis of heart valves or left-to-right shunt lesions at the atrial, ventricular, or great arterial levels. Careful examination reveals innocent systolic murmurs in as many as 72% of all school-age children [1]. A high pre...

Snakebite and a heart murmur.

Diastolic murmur of complete heart block.

tribution. More important, however, the possible existence of correlation among data was not addressed. It is generally known that correlation among data would seriously affect the results of analysis of variance. Therefore, it may be more appropriate to use a time series of analysis technique rather than the analysis of variance method. From the computational formula of the 95% confidence limi...

Peripheral Lymphadenopathy: Approach and Diagnostic Tools

Peripheral lymph nodes, located deep in the subcutaneous tissue, clean antigens from the extracellular fluid. Generally, a normal sized lymph node is less than one cm in diameter. Peripheral lymphadenopathy (LAP) is frequently due to a local or systemic, benign, self-limited, infectious disease. However, it could be a manifestation of underlying malignancy. Seventy-five percent of all LAPs are ...