12 results
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
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
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
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
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 ... Consider cardiac ... #heartfailure #diagnosis ... #management #cardiology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
responsiveness due to heart ... after a challenge maneuver ... expiratorv hold maneuver ... Tolerance #testing #diagnosis ... comparison #challenges #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... : • New cardiac ... murmur • Valvular ... Paradoxical emboli via ASD ... #cardiology #infectiousdiseases