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Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... DrJayMohan #Cardiac ... Maneuvers #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
microvascular injury ... segment changes on tele ... perform provocative tests ... in cath lab Treatment ... Prinzmetal #Angina #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... (UPC) ratio • Cardiac ... anti-GBM) Other tests ... o infection • Echocardiogram ... #management #treatment
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
to local skin injury ... thrombosis, VTE) • Cardiac ... Positive pathergy test ... is a skin prick test ... Arthritis, AS Treatment
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Presentation: Injury ... bouts of HTN Diagnostic ... Transverse Myelitis Diagnosis ... negative, MOG-IgG test ... Transverse Myelitis Treatment
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
AL Cardiac: • ... Amyloid typing Cardiac ... Testing: • EKG • Echocardiogram ... enlargement • MRI ... Tests: • Diagnostic
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
cardinal features ... sensitive tests ... demyelinating or axonal • MRI ... - Spinal MRI may ... cauda equina TREATMENT
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... tests before beginning ... treatment. ... perfusion - Cardiac ... failure - Low cardiac
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... timing with Cardio-OB ... Serial TTE and close ... #management #cardiology ... #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , rhabdo/crush injury ... Cortisol+ACTH stim test ... Elimination (see ... line, stabilizes cardiac