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differential endocarditis management palpitations pressure afib aorticregurgitation artery atrial coronary criteria embolism fibrillation fingernails functional infectiousdiseases jugular jvp mitral nailbed
Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
sound and carotid pulse ... • c wave - caused ... the tricuspid valve ... Waveforms #JVP #PhysicalExam ... #cardiology
Causes of Wide Pulse Pressure - Differential Diagnosis Physiologic: • Advanced age-arteriosclerosis (less compliant arteries) • Well
Causes of Wide Pulse ... - Differential Diagnosis ... Pathologic: • Valvular ... sclerosis (both heart valve ... #causes #cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
: • Valvular disorders ... sclerosis (both heart valve ... of developing atrial ... mmHg developed atrial ... #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular) A 70 y/o man presents with new
with a normal echocardiogram ... (non-valvular) ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
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 Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... • ACQUIRED VALVULAR ... • HYPOXIA PSYCHIATRIC ... #Differential #Diagnosis ... #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... Treat underlying cause ... #management #cardiology
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... non-culprit vessels • Atrial ... , PFO, ASD, h/o ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
• Prosthetic valve ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... Treat underlying cause ... #cardiology #infectiousdiseases
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Cardiac: • Valvular ... with afibb) • Pulse ... Mechanical heart valve ... Fibrillation #AFib #diagnosis ... #management #cardiology
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
plane into left atrium ... parachute mitral valve ... disease: Collagen vascular ... #Differential #Diagnosis ... #Cardiology
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