Solution to Quiz 6:

Answer: This patient was diagnosed to have a Descending thoracic Aortic aneurysm, just distal to the origin of Subclavian Artery.

On enquiry, he gave a history of upper back pain since last 6 months which he kept ignoring as muscular back pain.

As the aneurysm kept increasing in size he started getting compression of surrounding structures and hence the symptoms of Hoarseness of voice and Dysphagia.

The giddiness that he had was possibly due to increase in dissection and hypotension associated.

I’ll be discussing more about this case including the management principles in my new blog ‘Interesting Cases’ http://icucases.blogspot.com/

 

 

Keep Reading......

QUIZ 6:

A 54 year old male patient,

known Hypertensive, Ischaemic heart disease, had undergone CAG – PTCA to LAD about 8 mnths back.

Now presents with

H/o Fever – low grade, on and off for last 6 mnths, being treated on out patient basis with multiple antibiotics;

H/o 1 episode of giddiness/ black-out about 2 months back;

H/o hoarseness of voice since last 3 weeks, IDL done: suggestive of Left vocal cord palsy; followed by

H/o dysphagia, to both solids and liquids, sudden in onset, since today morning.

What is your diagnosis?

Keep Reading......