Friday, April 27, 2007

Dextrocardia

Down in A+E today, I was casually listening to yet another chest. On the left side, I struggled to pick up anything suspicious, it all seemed fine. Breathing was a bit quick, but otherwise absolutely fine. Moving on to right side, the lungs seemed okay again, and the heart was beating strongly and regularly. I was struggling to understand why the SHO had told me to listen to this guy's chest, and was now hovering over my shoulder in excitement.
Hang on a minute. Right side.... Heart....... Right side................. Heart.

Right side.



Heart.



Isn't the heart meant to be on the left side? The rusting cogs that fill my head were finally heaved back into motion by a dropping penny. This guy's heart is on the wrong side, or as we medically inclined people say, dextrocardia. Affecting only 0.01% of people, most of whom will never know it, it's quite an interesting catch for a third year student. There are a few dangers of having the condition, mostly to do with sufficient oxygen getting through the lungs to the body, but to be honest I haven't done enough research to explain them.
I mean, it's not likely to come up in any of my exams, is it?

7 comments:

Anonymous said...

The typical Southampton student approach...

Anonymous said...

Excuse my ignorance but isn't the heart central, its just that the left side of the heart pumps the blood....

Im sure thats enough for u to shoot me down in flames.....

The Ante Poster said...

The heart is found 30% right of the central line and 70% left of it. As for pumping blood, the right side pumps blood to and from the lungs, and the left side pumps blood to and from the rest of the body.
However, it certainly shouldn't be found totally on the right hand side of the chest.
Down in flames? Nah, more like a forced landing.

Unknown said...

i find this kinda shit fascinating,
did the guy know or were you guys telling him then?

The Ante Poster said...

He had no idea, but I think he'd come in with a complication of it, lung probs and a headache. The SHO was going to break the bad news to him later.

Anonymous said...

i have dextracardia and ther eis no problem. Never had a health or long problem with it It just gets annoying when I have to have an EKG or an Xray and medical personell sound all confused and I am not sure why it is listed as a defect-It's the only thing I have known. But then again certain skin and eye colours or short people or tall people could also be listed as defective.

Anonymous said...

true religion jeans, burberry outlet online, true religion jeans, timberland, michael kors, coach outlet, converse pas cher, hogan, true religion jeans, hollister, michael kors, vanessa bruno, nike free run uk, nike air max, ugg boots, ugg boots, michael kors outlet, tn pas cher, ray ban uk, vans pas cher, michael kors outlet, coach purses, air force, coach outlet, abercrombie and fitch, nike roshe, ralph lauren uk, michael kors outlet, kate spade handbags, oakley pas cher, north face, nike air max, mulberry, sac guess, true religion outlet, michael kors outlet, lacoste pas cher, nike air max, michael kors outlet, hermes, burberry, michael kors, nike blazer, new balance pas cher, michael kors, north face, lululemon, hollister pas cher, ray ban pas cher, replica handbags