« ECG Clinical case quizz:Amylose cardiaque » : différence entre les versions
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{ | { | ||
"ecc_id": "2329", | |||
"eccq_base": "A valider", | |||
"ebt_id": "312", | |||
"eccq_difficulte": "1", | |||
"eccq_contexte": "Patient de 80ans aux antécédents d'insuffisance rénale, de neuropathie périphérique et de fibrillation atriale persistante, hospitalisé pour prise en charge d'un tableau de décompensation cardiaque globale.", | |||
"eccq_remarque": "", | |||
"eccq_admin_note": "", | |||
"clinical_exams": [ | |||
{ | |||
"ecg_id": "365", | |||
"ecg_comment": "ECG notant un microvoltage, un rabotage diffus des ondes R (ou ondes Q de pseudo-nécrose).\nIl pourrait être évoqué le diagnostic d'amylose cardiaque \n", | |||
"ecg_speed": "25", | |||
"ecg_gain": "10", | |||
"ecg_quality": "4", | |||
"ecg_type": "ECG standard", | |||
"pages": [ | |||
{ | |||
"ep_id": "365", | |||
"ep_filename": "2fcd0r0yaku.webp", | |||
"ep_pixels_cm": "0", | |||
"ep_caliper_color": "#00008b", | |||
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-tb9ew6\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"118.89138576779027\" y=\"171.3774531835206\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.04296875)\">microvoltage</text><text x=\"609.7977528089888\" y=\"30.433632958801493\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(1.04296875)\">rabotage des ondes R</text><line x1=\"562.816479400749\" y1=\"141.90262172284645\" x2=\"587.7453183520599\" y2=\"174.50187265917603\" stroke=\"black\" stroke-width=\"2\" marker-end=\"url(#arrow-black-tb9ew6)\" transform=\"scale(1.04296875)\"></line>" | |||
} | |||
], | |||
"quizzes": [ | |||
{ | |||
"eqz_id": "330", | |||
"ecg_id": "365", | |||
"emdl_id": "-2", | |||
"eqz_contexte": "Quelles anomalies ECG pouvez vous relever sur ce tracé ? ", | |||
"emdl_name": null, | |||
"eqz_bareme": "1", | |||
"eqz_remarque": "ECG notant un microvoltage, un rabotage des ondes R de V1 à V4 (ou ondes Q de pseudo-nécrose).\n\n", | |||
"eqz_wait_previous": "0", | |||
"questions": [ | |||
{ | |||
"eqstl_id": "1", | |||
"eqstl_weight": "1", | |||
"eqstl_question": "microvoltage diffus", | |||
"eqstl_answer": { | |||
"correct": 1 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "2", | |||
"eqstl_weight": "2", | |||
"eqstl_question": "bloc de branche gauche", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "3", | |||
"eqstl_weight": "3", | |||
"eqstl_question": "rabotage des ondes R", | |||
"eqstl_answer": { | |||
"correct": 1 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "4", | |||
"eqstl_weight": "4", | |||
"eqstl_question": "hypertrophie ventriculaire gauche", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "5", | |||
"eqstl_weight": "5", | |||
"eqstl_question": "bloc de branche droit", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
} | |||
] | |||
}, | |||
{ | |||
"eqz_id": "331", | |||
"ecg_id": "365", | |||
"emdl_id": "-7", | |||
"eqz_contexte": "L'ETT réalisée note une FEVG préservée. \nQuel diagnostic pouvez vous évoquer ? ", | |||
"emdl_name": null, | |||
"eqz_bareme": "1", | |||
"eqz_remarque": "Il pourrait être évoqué le diagnostic d'amylose cardiaque au vu du contexte clinique et du tracé ECG. \n\nLes signes ECG possibles (non spécifiques et non systématiques) de l'amylose cardiaque sont : \n\\- microvoltage\n\\- rabotage des ondes R ou ondes Q de pseudo\\-nécrose\n\\- troubles du rythme supraventriculaires\n\\- dysfonction sinusale\n\\- blocs de branche\n\n", | |||
"eqz_wait_previous": "0", | |||
"questions": [ | |||
{ | |||
"eqstl_id": "6", | |||
"eqstl_weight": "1", | |||
"eqstl_question": null, | |||
"eqstl_answer": { | |||
"solution": "amylose cardiaque" | |||
} | |||
} | |||
] | |||
} | |||
] | |||
} | |||
] | |||
} | } | ||