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differential murmur auscultation cardiomyopathy endocarditis abnormal algorithm causes flow grading hocm hypertrophic infectiousdiseases jugular management obstructive palpitations pulmonary regurgitation restrictive
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
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur • Occurs during systole • Crescendo-decrescendo murmur • Heard best
Murmur • Occurs ... • Increase intensity ... • Decrease intensity ... #Murmur #Cardiac ... #Cardiology #Diagnosis
Pulmonary Flow Murmur crescendo-decrescendo, early to mid-systolic Increases Intensity: Laying supine, hyperkinetic circulatory states (e.g., anemia, fever,
Pulmonary Flow Murmur ... ) Decreases Intensity ... up or standing, maneuvers ... #Cardiac #Cardiology ... #Diagnosis
Cardiac Auscultation - Murmur Intensity Grading Grade 1 Audible with a good stethoscope in a quiet room Grade 2 Quiet
Cardiac Auscultation ... - Murmur Intensity ... #Intensity #Grading ... #diagnosis #cardiology ... #physicalexam
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam Firm pressure with the
Hepatic Pressure Maneuver ... appearance or increase intensity ... regurgitation murmur ... Regurgitation #PhysicalExam ... #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
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 ... Palpitations Diagnosis ... Hyperthyroidism • Anemia Psychiatric ... or other vagal maneuvers ... #Palpitations #Cardiology
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