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DOCTORS
AND TESTS
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view images]
Chest ex-rays
· characteristics of P.E. with heart displacement to
the left
Pulmonary
Function Test
· lung capacity below expected for age, weight and
height
· only 3% increase in lung performance following use
of inhaler
Dr.
Eric W. Fonkalsrud MD
Chief of Pediatric Surgery, UCLA Medical Center
· provided second opinion
· determined Pectus Severity Index to be 4.64
Pediatric
Pulmonary and Allergy Specialist
· prescribed asthma medication
· requested exercise induced stress test
· provided referral to surgeon specializing in surgical correction
Pulmonary
Exercise Induced Stress Test [image]
· pulmonary function test completed prior to exercise
· EKG monitored stress test with heart rate up to 185
sustained for 8 minutes
· post stress pulmonary function test first without
and then with inhalation aerosol
· Diagnosis:
1.
the flow-volume loops abnormal suggestive of upper airway
obstruction Clinical correlation advised
2. Lung volumes borderline low
3. DLCO is mildly reduced, DLCO/VA normal
" Therefore, the mild restriction is probably due to
the patient's chest wall deformity."
Pediatric
Surgeon specializing in Nuss and Modified Ravitch Corrections
· provided thorough explanation of condition, detailed
overview of Ravitch and Nuss correction methods
· answered all inquiries, offered to provide patient
references
·requested CT scan, EKG, made suggestions for pre op
breathing exercises
·surgery scheduled for June 12th, 2002
Echo
Cardiogram
This is one of the test required prior to P.E. corrective
surgery to rule out heart problems. Sticky patches or electrodes
are attached to the chest and shoulder, connected to electrodes/wires.
These record the electrocardiogram (EKG or ECG) during the
echocardiography test. The EKG shows the timing of various
cardiac events (filling and emptying of chambers). A colorless
gel is applied to the chest and the echo transducer is placed
on top of it. The echo technologist makes recordings from
different parts of the chest to obtain several views of the
heart.
No presence or Mitral Valve Prolaps noted, Marfan Syndrome
out ruled.
CT(computer
tomography) Scan[image]
This is an x-ray exam that looks at the body in cross sections,
in this case the chest. Contrast media (an iodine-containing solution)
is injected into a vein. This shows up the blood vessels and body
tissues for the scan. As the contrast media circulates, the patient
may have a cool feeling in the arm followed by a warm sensation
throughout the body. This may be accompanied by a metallic or salty
taste sometimes accompanied by nausea. The sensation passes quickly.
The procedure takes about 30 minutes including prep time.
Cross section x-rays of the chest confirmed heart obstruction.
Complete
Physical Examination by Pediatrician
In addition to the above examinations, a complete physical is also
completed by the patent's practitioner. It's a summary of the medical
history and confirms that immunization is up to date
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