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Forum Name: Cardiology Symptoms

Question: Scenario for school research


 lrthoma - Sat May 29, 2004 3:49 pm

You are a presented with a patient who has never seen a doctor before and his chief complaint is he and his wife are having problems getting pregnant...upon taking a history of him you note he says all his life has had sinus problems and he thinks he might even have asthma since he never can breathe real well...nothing else about the history is abnormal...upon physical examination you note that you have problems hearing the heart and you finally find what you feel to be the APEX of the heart at the RIGHT 5th intercostal space... you also note congestion of the bronicial tree and very little illumination of any of the sinuses...upon examination of his abdomen you note a large mass in the left upper abdominal cavity and you also note you can't palpate the liver in the right upper abdominal cavity...what is your diagnosis?
 Dr. Yasser Mokhtar - Mon May 31, 2004 12:42 pm

User avatar Dear Lrthoma,

This is a case of Kartagener's syndrome.

It is the combination of:

1. Situs inversus (the organs of the body on the opposite side (heart on right-normally on left. Liver on left-normally on right).
2. Chronic sinusitis.
3. Bronchiectasis.

They also complain of infertility secondary to immotile cilia.

Thank you very much for using our website http://doctorslounge.com and i hope that this information helped.

Yasser Mokhtar, M.D.

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