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cardiology differential abnormalities afib atrial causes disorders evaluation fibrillation heartfailure hfref perioperative pharmacology preop preoperative risk schf stratification
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
- Differential Diagnosis ... Algorithm Unequal ... pressure >10mmHg: • Cardiac ... Stenosis: • Anacrotic ... regurgitation
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... Palpitations Diagnosis ... insufficiency, stenosis ... • Severe aortic ... regurgitation
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
murmur of valvular regurgitation ... or stenosis, weight ... Chest x-ray: signs ... Consider cardiac ... #management #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Symptoms: • Palpitations ... exercise intolerance, chest ... Cardiac: • Valvular ... with afibb) • Pulse ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Severe Aortic stenosis ... change CV risk Chest ... medical and surgical management ... stratification #diagnosis
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