Embryology Videos & Books 2021

2022-05-17 10:24:00 A 26-year-old woman comes to the office due to several weeks of pain and muffled hearing in the left ear. She also describes a sensation of jaw clicking when chewing food. The patient has a background history of episodic headaches and left-sided facial pain for several years that are worse when moving the jaw. She also has been told that she grinds her teeth while asleep. On examination, the patient is unable to open her mouth fully and develops pain with passive movement of the jaw. The external auditory canal and tympanic membrane are normal. Rinne and Weber hearing tests are also normal. Left medial pterygoid muscle dysfunction is suspected. Open / Comment

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2022-04-30 21:33:01 The patient's short stature, webbed neck, and broad chest are typical features of Turner syndrome (TS) (45,X). TS is the most common sex-chromosome abnormality and is caused by complete or partial loss of an X chromosome.
Cardiovascular abnormalities are the most life-threatening comorbidity associated with TS. Therefore, all patients with TS require screening for cardiac disease with 4-extremity blood pressures and echocardiography.
Left-sided cardiac anomalies
are most common and include bicuspid aortic valve and coarctation of the aorta. Patients with coarctation and aortic valve disease, as well as those with hypertension, are at increased risk for aortic root dilation, which can progress to aortic dissection or rupture. Open / Comment

2022-04-30 07:33:01 Open / Comment

2022-04-30 07:32:01 A 7-year-old girl is brought to the office for a routine physical examination. She and her parents have no concerns. The girl is in the second grade and has several friends at school. She is doing well academically, can tie her shoes independently, and is an adept soccer player.
The patient is up to date on vaccinations and takes no daily medications. Weight is at the 50th
percentile and height is at the 5th percentile for age. Examination shows a short, webbed neck and a broad chest with widely spaced nipples. Open / Comment

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2022-04-29 21:32:01 Educational objective: The third heart sound (83) is a low frequency diastolic sound heard just after 82 that is associated with left ventricular failure. Intravenous diuretics provide symptomatic benefits to patients with decompensated heart failure. Open / Comment

2022-04-29 07:31:01 Open / Comment

2022-04-29 07:30:58 A 54-year-old male with a past medical history of type 2 diabetes mellitus comes to the emergency department complaining of shortness of breath. His blood pressure is 146/92 mmHg, respiratory rate is 26/min, and oxygen saturation is 87% on room air. Cardiac auscultation findings over the apex are given below. Based on the physical findings, Open / Comment