What is APICAL PERIODONTITIS ? Apical periodontitis is inflammation around the end of the root (apex ) of a tooth So even more simply inflammatory fluid (swelling) under the root It can be the result of a patient clenching on a tooth and causing swelling in the PdL but we know it as inflammation under the root as a result of a bacterial over load (infection ) within the root canal system which leads to the production of fluid under the root - unfortunately unlike our skin which can swell and str
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🎥 Classic Echo Finding: Apical Rocking 🔍 What you see here is a classic example of apical rocking, a striking echocardiographic sign. 🫀 When does it occur? It is typically observed in patients with left bundle branch block (LBBB). 📌 Why does it happen? Because of the abnormal sequence of ventricular activation in LBBB, the septum and lateral wall contract out of sync. This dyssynchrony leads to the characteristic “rocking” motion of the apex. 💡 Clinical Pearl: Apical rocking is not just a v
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Apical H. Cardiomyopathy (ApHCM — a special variant of HCM, often called Yamaguchi syndrome. --- 1--Definition & Epidemiology A variant of hypertrophic cardiomyopathy characterized by predominant hypertrophy of the left ventricular (LV) apex, producing a "spade-like" configuration of the LV cavity on ventriculography/echo/MRI. More common in East Asian populations (esp. Japan), but also seen worldwide. Often diagnosed later in life compared to classic septal HCM. --- 2--Pathophysiology Genetic b
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