Notching Of The Ribs
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Notching Of The Ribs
Notching of the ribs (or rib notching) is a radiologic sign where the surface of the rib is deformed. It can be characterized as unilateral or bilateral, and should be differentiated between affecting the upper (superior) or lower (inferior) surface of the rib. Causes Inferior rib notching can be associated with aortic coarctation (as a result of dilatation of intercostal arteries), superior vena caval obstruction, arteriovenous fistula, or following a Blalock Taussig shunt. Causes of inferior rib notching by etiology: ''Arterial'': aortic coarctation, aortic thrombosis, pulmonary-oligemia/arteriovenous malformation, Blalock Taussig shunt, Tetralogy of fallot (TOF), absent pulmonary artery, and pulmonary stenosis. ''Venous'': arteriovenous malformations of the chest wall, superior vena cava, or other central venous obstruction. ''Neurogenic'': intercostal neuroma, Neurofibromatosis type 1, poliomyelitis. ''Osseous'': hyperparathyroidism, thalassemia, Melnick–Needles syndro ...
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Radiologic Sign
A radiologic sign is an objective indication of some medical fact (that is, a medical sign) that is detected by a physician during radiologic examination with medical imaging (for example, via an X-ray, CT scan, MRI scan, or sonographic scan). Examples * Double decidual sac sign * Face of the giant panda sign * Football sign * Golden S sign * Hampton's hump * Hilum overlay sign * Kerley lines * Mickey Mouse sign * Omental cake * Peribronchial cuffing * Pneumatosis intestinalis * Rigler's sign * Westermark sign In chest radiograph A chest radiograph, chest X-ray (CXR), or chest film is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are the most common film ... See also * List of radiologic signs References {{Radiologic signs * ...
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Aortic Coarctation
Coarctation of the aorta (CoA) is a congenital condition whereby the aorta is narrow, usually in the area where the ductus arteriosus (ligamentum arteriosum after regression) inserts. The word ''coarctation'' means "pressing or drawing together; narrowing". Coarctations are most common in the aortic arch. The arch may be small in babies with coarctations. Other heart defects may also occur when coarctation is present, typically occurring on the left side of the heart. When a patient has a coarctation, the left ventricle has to work harder. Since the aorta is narrowed, the left ventricle must generate a much higher pressure than normal in order to force enough blood through the aorta to deliver blood to the lower part of the body. If the narrowing is severe enough, the left ventricle may not be strong enough to push blood through the coarctation, thus resulting in a lack of blood to the lower half of the body. Physiologically its complete form is manifested as interrupted aortic ...
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Intercostal Arteries
The intercostal arteries are a group of arteries passing within an intercostal space (the space between two adjacent ribs). There are 9 anterior and 11 posterior intercostal arteries on each side of the body. The anterior intercostal arteries are branches of the internal thoracic artery and its terminal branchthe musculophrenic artery. The posterior intercostal arteries are branches of the supreme intercostal artery and thoracic aorta. Each anterior intercostal artery anastomose, anastomoses with the corresponding posterior intercostal artery arising from the thoracic aorta. Anterior intercostal arteries Origin The upper six anterior intercostal arteries are branches of the internal thoracic artery (anterior intercostal branches of internal thoracic artery). The internal thoracic artery then divides into its two terminal branches, one of which - the musculophrenic artery - proceeds to issue anterior intercostal arteries to the remaining 7th, 8th, and 9th intercostal spaces ...
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Superior Vena Caval Obstruction
Superior may refer to: *Superior (hierarchy), something which is higher in a hierarchical structure of any kind Places *Superior (proposed U.S. state), an unsuccessful proposal for the Upper Peninsula of Michigan to form a separate state *Lake Superior, the largest of the North American Great Lakes, Canada, United States and the second largest lake in the world. United Kingdom * Rickinghall Superior, England United States *Superior, Arizona *Superior, Colorado *Superior, Indiana *Superior, Iowa *Superior Township, Chippewa County, Michigan *Superior Township, Washtenaw County, Michigan *Superior, Montana *Superior, Nebraska *Superior, West Virginia *Superior, Wisconsin, a city *Superior (town), Wisconsin, a town adjacent to the city *Superior (village), Wisconsin, a village adjacent to the city *Superior, Wyoming *Superior (RTA Rapid Transit station), a station on the RTA Red Line in Cleveland, Ohio *Superior Bay, a bay between Minnesota and Wisconsin *Superior Falls, a waterf ...
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Arteriovenous Fistula
An arteriovenous fistula is an abnormal connection or passageway between an artery and a vein. It may be congenital, surgically created for hemodialysis treatments, or acquired due to pathologic process, such as trauma or erosion of an arterial aneurysm. Clinical features Pathological Hereditary hemorrhagic telangiectasia is a condition where there is direct connection between arterioles and venules without intervening capillary beds, at the mucocutaneous region and internal bodily organs. Those who are affected by this conditions usually do not experience any symptoms. Difficulty in breathing is the most common symptom for those who experience symptoms. Just like berry aneurysm, a cerebral arteriovenous malformation can rupture causing subarachnoid hemorrhage. Causes The cause of this condition include * Congenital (developmental defect) * Rupture of arterial aneurysm into an adjacent vein * Penetrating injuries * Inflammatory necrosis of adjacent vessels * Complication of ...
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Blalock Taussig Shunt
Blalock may refer to: * Blalock (surname) * Blalock, Georgia, an unincorporated community * Blalock, Oregon, a former community in the United States * Lake Blalock, reservoir in Spartanburg County, South Carolina Houses * Blalock House, historic home in Venice, Florida, United States * Robert L. Blalock House, historic home in Lenoir County, North Carolina * Dr. Nathan M. Blalock House, historic home near Raleigh, Wake County, North Carolina See also * Blalock–Taussig shunt, surgical procedure used to increase pulmonary blood flow * Blalock–Hanlon procedure The Blalock–Hanlon procedure was created by Alfred Blalock and C. Rollins Hanlon. It was described in 1950. Alfred Blalock was an American surgeon most known for his work on the Blue Baby syndrome. C. Rollins Hanlon was also an American surgeon ...
, a form of heart surgery {{disambiguation ...
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Tetralogy Of Fallot
Tetralogy of Fallot (TOF), formerly known as Steno-Fallot tetralogy, is a congenital heart defect characterized by four specific cardiac defects. Classically, the four defects are: * Pulmonary stenosis, which is narrowing of the exit from the right ventricle; * A ventricular septal defect, which is a hole allowing blood to flow between the two ventricles; * Right ventricular hypertrophy, which is thickening of the right ventricular muscle; and * an overriding aorta, which is where the aorta expands to allow blood from both ventricles to enter. At birth, children may be asymptomatic or present with many severe symptoms. Later in infancy, there are typically episodes of bluish colour to the skin due to a lack of sufficient oxygenation, known as cyanosis. When affected babies cry or have a bowel movement, they may undergo a "tet spell" where they turn cyanotic, have difficulty breathing, become limp, and occasionally lose consciousness. Other symptoms may include a heart mur ...
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Neurofibromatosis Type 1
Neurofibromatosis (NF) refers to a group of three distinct genetic conditions in which tumors grow in the nervous system. The tumors are non-cancerous (benign) and often involve the skin or surrounding bone. Although symptoms are often mild, each condition presents differently. Neurofibromatosis type I (NF1) is typically characterized by café au lait spots (light-brown flat patches of skin), neurofibromas (small bumps in or under the skin), scoliosis (side-way curvature of the back), and headaches. Neurofibromatosis type II (NF2), on the other hand, may present with early-onset hearing loss, cataracts, tinnitus, difficulty walking or maintaining balance, and muscle atrophy. The third type is called schwannomatosis and often presents in early adulthood with widespread pain, numbness, or tingling due to nerve compression. The cause is a genetic mutation in certain oncogenes. These can be inherited, or in about half of cases spontaneously occur during early development. Di ...
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Poliomyelitis
Poliomyelitis ( ), commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 75% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe symptoms develop such as headache, neck stiffness, and paresthesia. These symptoms usually pass within one or two weeks. A less common symptom is permanent paralysis, and possible death in extreme cases.. Years after recovery, post-polio syndrome may occur, with a slow development of muscle weakness similar to what the person had during the initial infection. Polio occurs naturally only in humans. It is highly infectious, and is spread from person to person either through fecal–oral transmission (e.g. poor hygiene, or by ingestion of food or water contaminated by human feces), or via the oral–oral route. Those who are infected may spread the disease for up to six weeks even if no symptoms are present. The disease may be diagnosed by ...
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Hyperparathyroidism
Hyperparathyroidism is an increase in parathyroid hormone (PTH) levels in the blood. This occurs from a disorder either within the parathyroid glands ( primary hyperparathyroidism) or as response to external stimuli ( secondary hyperparathyroidism). Symptoms of hyperparathyroidism are caused by inappropriately elevated blood calcium excreted from the bones into the blood stream in response to increased production of parathyroid hormone. In healthy people, when blood calcium levels are high, parathyroid hormone levels should be low. With long-standing hyperparathyroidism, the most common symptom is kidney stones. Other symptoms may include bone pain, weakness, depression, confusion, and increased urination. Both primary and secondary may result in osteoporosis (weakening of the bones). In 80% of cases, primary hyperparathyroidism is due to a single benign tumor known as a parathyroid adenoma. Most of the remainder are due to several of these adenomas. Very rarely it may be du ...
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Thalassemia
Thalassemias are a group of Genetic disorder, inherited blood disorders that manifest as the production of reduced hemoglobin. Symptoms depend on the type of thalassemia and can vary from none to severe, including death. Often there is mild to severe anemia (low red blood cells or hemoglobin) as thalassemia can affect the production of red blood cells and also affect how long the red blood cells live. Symptoms include fatigue (medical), tiredness, pallor, bone problems, an splenomegaly, enlarged spleen, jaundice, pulmonary hypertension, and dark urine. A child's growth and development may be slower than normal. Thalassemias are genetic disorders. Alpha thalassemia is caused by deficient production of the Hemoglobin subunit alpha, alpha globin component of hemoglobin, while beta thalassemia is a deficiency in the Hemoglobin subunit beta, beta globin component. The severity of alpha and beta thalassemia depends on how many of the four genes for alpha globin or two genes for beta ...
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Melnick–Needles Syndrome
Melnick–Needles syndrome (MNS), also known as Melnick–Needles osteodysplasty, is an extremely rare congenital disorder that affects primarily bone development. Patients with Melnick–Needles syndrome have typical faces (exophthalmos, full cheeks, micrognathia and malalignment of teeth), flaring of the metaphyses of long bones, s-like curvature of bones of legs, irregular constrictions in the ribs, and sclerosis of base of skull. In males, the disorder is nearly always lethal in infancy. Lifespan of female patients might not be affected. Melnick–Needles syndrome is associated with mutations in the ''FLNA'' gene and is inherited in an X-linked dominant manner. As with many genetic disorders, there is no known cure to MNS. The disorder was first described by John C. Melnick and Carl F. Needles in 1966 in two multi-generational families. Signs and symptoms Craniofacial Melnick–Needles syndrome causes distinctive craniofacial abnormalities. These include full cheeks, a prom ...
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