PBL Sessions: Vascular Diseases 1

Page 8

Doris has been placed on anticoagulant therapy. She has an echocardiogram, and her ejection fraction is 40%.

Figure 2: Representative appearance of her lung

Figure 3: Representative appearance of her lung

Figure 4: Representative appearance of her heart by angiography

Figure 5: Representative appearance of her left anterior descending artery

The following images are representative of her myocardium at different times. Match the image to the time course of her cardiovascular disease.

Figure 6: Representative appearance of her myocardium

Figure 7: Representative appearance of her myocardium

Figure 8: Representative appearance of her myocardium

Vickie has been started on insulin therapy. She is now undergoing menarche.

Valerie is now in the third trimester, at 33 weeks gestation. Her fasting glucose is 130 mg/dL and Hgb A1C 7.4%.

Tasks

• What does the value of the ejection fraction suggest?

• Why was Vickie given insulin therapy? Is menarche normal at her age?

• What is a fetal ultrasound for Valerie likely to show?

• Why is this a "high risk" pregnancy for Valerie?

• How would you follow up in these cases?

Stop !! Complete discussions and tasks before moving to the next page.