Aortic Stenosis
What is Aortic Stenosis (AS) Normal area of aortic valve is 1.5–2 cm². It is severe, if the area is < 1 cm². If the valve area is < 0.7…
Pulmonary Regurgitation
Causes of Pulmonary Regurgitation • Dilatation of pulmonary valve secondary to pulmonary hypertension.• Secondary to mitral stenosis producing an early diastolic murmur (Graham Steel murmur).• Rheumatic fever.• Carcinoid syndrome. Symptoms…
Pulmonary Stenosis
Causes of Pulmonary Stenosis • Congenital (most common).• Associated with Carcinoid syndrome, Noonan’s syndrome, Fallot’s tetralogy.• May occur, if there is rubella in pregnancy. Symptoms • May be asymptomatic.• Symptoms,…
Tricuspid Regurgitation
Causes of Tricuspid Regurgitation (TR) • Functional—secondary to pulmonary hypertension, cor pulmonale, right heart failure (commonestcause).• Chronic rheumatic heart disease.• Infective endocarditis (commonly involved in drug addicts).• Congenital heart disease…
Mitral Valve Prolapse
What is Mitral Valve Prolapse (MPV) It is also called Barlow’s syndrome or floppy mitral valve. In this condition, a mitral valve leaflet, commonlythe posterior leaflet prolapses into the left…
Mitral Regurgitation
Causes of Mitral Regurgitation • Chronic rheumatic heart disease.• Mitral valve prolapse.• Papillary muscle dysfunction.• Infective endocarditis.• Trauma or mitral valvotomy.• Connective tissue diseases (rheumatoid arthritis, SLE, Marfan’s syndrome, Ehler-Danlossyndrome).•…
Myxoma of Heart
Definition It is the common primary tumour of heart, usually benign, may be pedunculated, polypoid,gelatinous, attached by a pedicle to the atrial septum. It may be sporadic and familial. It…
Causes of Chloasma or Melasma
It is the discrete pigmentation in the face of females, due to imbalance between oestrogen andprogesterone. Melanocyte-stimulating hormone is normal. Causes are—• Pregnancy.• Sunlight exposure.• Drugs (oral contraceptive and phenytoin).•…
Causes of Puffy Face
Puffy FaceCauses are—• Nephrotic syndrome.• Acute glomerulonephritis (AGN).• Myxoedema.• SVC obstruction.• Acromegaly.• Angioneurotic oedema.• Cushing’s syndrome.• Chronic alcoholism.• Severe congestive cardiac failure.• Hereditary angio-oedema.
Causes of Depressed Nasal Bridge
Causes are—• Trauma.• Tuberculosis (TB)(lupus vulgaris).• Leprosy.• Sarcoidosis.• Congenital syphilis (also tertiary).• Wegener’s granulomatosis.• Fungal infection (deep).• Idiopathic midline granuloma.• Cutaneous leishmaniasis.