3 documents found, page 1 of 1
Large Right Ventricular Thrombus
Sousa, Carla; Almeida, Pedro; Gonçalves, Alexandra; Rodrigues, João; Rangel, Inês; Macedo, Filipe; Maciel, M. JúliaRight ventricular thrombosis is a rare yet potentially fatal condition. It has been described in association with hypercoagulability states, autoimmune diseases and dilated cardiomyopathy. Echocardiography constitutes the election tool for diagnosis and characterization of these entities, allowing for the differentiation between the various types of thrombi. We present a case of a patient with alcoholic dilated...
Severe hyponatremia – a form of presentation of hypophyseal apoplexy
Rangel, Inês; Carneiro, Filipa; Paiva, Isabel; Gonçalves, AnabelaThe authors describe the case of a 68-year-old man, formerly a smoker with a history of alcoholism. Admitted to the emergency department complaining of pollakiuria and hypogastric pain evolving for a couple of days and fever in the previous week, with headaches and vomiting. He presented diffuse hair loss and gynecomastia; neurological examination was normal. Severe hyponatremia was found (Na+ 113 mEq/L), along...
Amyloid cardiomyopathy – a diagnostic challenge
Barbosa, Gustavo; Rangel, Inês; Pinho, Teresa; Lobato, Luísa; Gavina, Cristina; Bettencourt, Paulo; Maciel, Maria JúliaThe authors present the case of a 71-year-old male patient, with previous history of arterial hypertension and diabetes mellitus, admitted with dyspnoea and anasarca. The echocardiogram presented biatrial dilation, severe left ventricle (LV) hypertrophy and mild LV systolic dysfunction. Abdominal computed tomography scan revealed hepatosplenomegaly and large volume ascites. Readmitted two months later with symp...