Thursday, December 18, 2008

Small heart..big heart

We usually say : he is kind, he has a big heart. But, no one says: he has small heart. why?
On cardiology &Internal medicine rounds: We ask the medical students to :
* Enumerate causes of large heart shadow on X Ray.
*Tell me causes of cardiomegaly.
Rarely to ask them the reverse:
*Enumerate causes of small heart shadow on X Ray.
*Tell me causes of small cardiac dimensions.
I asked one of the residents few days ago that question. Tomorrow, I will discuss that topic with them.
Here is the answer.
  • Neoplastic Disorders
  • Allergic, Collagen, Auto-Immune Disorders.
  • Deficiency Disorders :Dehydration Cachexia status (inanition) usage.
  • Degenerative, Necrosis, Age Related Disorders (Presbycardia )
  • Psychiatric Disorders (Anorexia nervosa).
  • Anatomic, Foreign Body, Structural Disorders ( Pericarditis, chronic constrictive)
  • Vegetative, Autonomic, Endocrine Disorders
    Addison's disease (chronic adrenal insufficiency )
  • Emphysema/COPD/Chronic lung disease
  • Severe Hypothroidism
  • Instrument errors.

I power

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