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differential management algorithm auscultation criticalcare endocarditis heartfailure murmur pharmacology abnormal becks cardiomyopathy causes challenges chf clinical comparison evaluation fluid foamed
Cardiac Auscultation Maneuvers for Murmurs Maneuvers result in INCREASED murmur: • Inspiration - Right-sided • Valsalva -
Cardiac Auscultation ... Maneuvers for Murmurs ... #Murmurs #Cardiac ... #cardiology #physicalexam ... #diagnosis
Cardiac Murmurs and Maneuvers An algorithm demonstrating the effect of various maneuvers on systolic murmurs. TR, tricuspid
Cardiac Murmurs ... #Murmurs #Maneuvers ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Pulmonary Flow Murmur crescendo-decrescendo, early to mid-systolic Increases Intensity: Laying supine, hyperkinetic circulatory states (e.g., anemia, fever,
Pulmonary Flow Murmur ... up or standing, maneuvers ... #Pulmonary #Flow ... #Murmur #Cardiac ... #Cardiology #Diagnosis
Pericardial Tamponade Beck's Triad 1. Hypotension 2. Jugular venous distension 3. Muffled heart sounds Patient will be
sounds, JVD and ... ECG will show low ... #Pericardial #Cardiac ... #Becks #Triad #Diagnosis ... #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Cardiomyopathy - Diagnosis ... Physical Exam: ↑JVP ... +S4, MR and TR Murmurs ... Endomyocardial: Carcinoid Heart ... #differential #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
, severe right heart ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #PhysicalExam # ... cardiology
Cardiac Auscultation - Murmur Intensity Grading Grade 1 Audible with a good stethoscope in a quiet room Grade 2 Quiet
Cardiac Auscultation ... - Murmur Intensity ... stethoscope #Cardiac ... Intensity #Grading #diagnosis ... #cardiology #physicalexam
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
dental procedure • Cardiac ... : • New cardiac ... murmur • Valvular ... Paradoxical emboli via ASD ... #management #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Hyperthyroidism • Anemia Psychiatric ... or other vagal maneuvers ... decreased brain flow ... #Palpitations #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
pressure ratio 0.25), murmur ... un lymphatic Diagnostic ... angiography if low ... Consider cardiac ... #management #cardiology
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