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التحقق:: ما هي عاصمة فلسطين المحتلة ؟

الرسالة:: <p>[QUOTE="kinghamada, post: 53704"]<p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">This is a discussion of Cor Pulmonale regarding its definition, causes, clinical picture, investigations and treatment .</font></span></p><p><b>What is meant by Cor Pulmonale ?</b></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> It is a right ventricular hypertrophy due to parenchymal lung disease, vascular lung disease or chest wall disease with or without right sided heart failure. So, there is secondary pulmonary hypertension due to the following causes.</font></span></p> <p style="text-align: center"><span style="color: #000000"><font face="Times New Roman">[ATTACH=full]126231[/ATTACH]</font></span></p><p><br /></p><p><b> Causes of Cor Pulmonale ?</b></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">1) Parenchymal lung diseases ===>  Hypoxia.</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">      a. Chronic obstructive pulmonary disease. (chronic bronchitis/emphysema)</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">      b. Interstitial lung fibrosis</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">2) Vascular lung diseases       </font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">        a. Bilharzial cor pulmonale</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">        b. Thromboembolic P++ (subacute cor Pulmonale)</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">3) Chest wall diseases e.g. Kyphoscliosis===> hypoventilation ===> hypoxia.</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">4) Disturbance in respiratory control</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">           • Morbid obesity (pickwickian$)</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">           • Sleep apnoea.        Both lead to Hypoxia</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"> Hypoxia ===> pulmonary arteriolar vasoconstriction ===> pulmonary hypertension.</font></span></p><p><b>Clinical picture</b></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">1) Clinical picture of the Cause</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">2) Right ventricular++, pulmonary hypertension</font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">3) Right ventricular failure .</font></span></p><p><b>Investigations to diagnose Cor Pulmonale</b></p><p><br /></p><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman">• ECG may be normal with emphysema or there is decreased</font></span><span style="color: #000000"><font face="Times New Roman"></font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"></font></span><p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"><font size="4"><span style="color: Red"><b>Read more at</b></span></font> :<font size="5"><b><u> <a href="http://www.med4al.com/2025/07/cor-pulmonale.html" target="_blank" class="externalLink ProxyLink" data-proxy-href="http://www.med4al.com/2025/07/cor-pulmonale.html" rel="nofollow">Cor Pulmonale definition, causes, diagnosis and treatment</a></u></b></font></font></span></p> <p style="text-align: left"><span style="color: #000000"><font face="Times New Roman"><br /></font></span></p> </p><p>[/QUOTE]</p><p><br /></p>

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