6 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... Stenosis: • Anacrotic ... regurgitation
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... ; AS, aortic stenosis ... Murmurs #Maneuvers #Heart ... #Diagnosis
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... insufficiency, stenosis ... • Severe aortic ... regurgitation ... /Afib/WPW) • Loss
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Cardiac: • Valvular ... ) • Pulse oximetry ... severe mitral stenosis ... #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
pressure (pulse ... murmur of valvular regurgitation ... or stenosis, weight ... Chest x-ray: signs ... Consider cardiac
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... risk (>5%): - Aortic ... Severe Aortic stenosis ... change CV risk Chest ... stratification #diagnosis