A few weeks ago I promised to show you a few more spectacular echoes - so-called record breakers in respect of the severity or uniqueness of pathologies. Well, here are some more cases that are difficult to beat. This is the first one:
I always conduct a complete echo exam including all standard views. After all, even small details may provide important clues. However, there are exceptions - especially when the time factor is involved.
Nature provides several opportunities to understand echocardiographic findings. Have you ever wondered what causes a river to freeze in the winter? It is the temperature of the water and the velocity of the flow of water in it.
A farmer in his early 70ies came to our hospital. His physician was searching for a source of embolism following a couple of minor strokes. The patient had a history of hypertension and the ECG showed atrial fibrillation.
Adhering to rules gives us a certain sense of confidence. The same is true for echocardiography. We all like guidelines and simple shortcuts and that's fine. But sometimes we have to see the overall picture.