11 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... • Cardiac surgery ... Pulse deficit/differential ... BP • New AR murmur ... opiates • Control heart
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... regurgitation; AS, aortic ... DrJayMohan #Cardiac ... #Heart #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... dissection • ... beats: • Left heart ... pressure >10mmHg: • Cardiac
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... - Differential ... Diagnosis Algorithm ... • Rheumatic Heart ... #Cardiology #Differential
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Thrombus / Embolism: Cardiac ... /Vessels (Heart ... failure, Dissection ... hypovolemia), Meds ... #Diagnosis #algorithm
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
+S4, MR and TR Murmurs ... Echocardiography, Cardiac ... Endomyocardial: Carcinoid Heart ... Diagnosis #Causes #differential ... #cardiology #algorithm
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... : • New cardiac ... murmur • Valvular ... Marantic (NTBE) Differential ... block, annular or aortic
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Ischemic Stroke - Differential ... Diagnosis Algorithm ... Atherosclerosis, Arterial Dissection ... - Ascending Aorta ... - Heart
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
make an informed decision ... irregular rhythm, new murmur ... exam Determine Cardiac ... event, follow ACC algorithm ... risk (>5%): - Aortic
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Ovarian CA, involves aortic ... murmur • Valvular ... block, annular or aortic ... #Endocarditis #Differential