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RE: ONLINE WARDROUNDS EP 9 featuring CASE REVIEWS & SPECIAL INTERVIEW of @donnest
For case 1
My diagnosis is aortic coarctation with differential of oartic compression, narrowing or stenosis from tumor, atherosclerosis, etc.
Reason is hypertension in an adolescent plus femoral delay.
Investigation is basically radiological... X-rays, MRI,
Treatment is conservative and symptomatic with inotropics and diuretics depending on symptoms /complications. Surgery is the last resort.
For case 2
My diagnosis is Infective endocarditis, with differential of rheumatic fever /heart disease, valvular heart disease.
Investigations includes CBC, blood culture, CXR, echocardiography,
Treatment is with antibiotics and treatment of complications.