6 results
Congenital Heart Disorders - Classification and Differential Algorithm

- Amy Chung, MD, MSc @AmyChung 

#Congenital #Heart #Disorders
Congenital Heart ... Disorders - Classification ... and Differential ... #Peds #Pediatrics ... #Cardiology #Cyanotic
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... - Differential ... Diagnosis Algorithm ... • Rheumatic Heart ... #Cardiology #Differential
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... beats: • Left heart ... Abnormalities #Disorders ... #Cardiology #Differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Connective tissue disorder ... Marfans, EDS ... Pulse deficit/differential ... BP • New AR murmur ... opiates • Control heart
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
+S4, MR and TR Murmurs ... Endomyocardial: Carcinoid Heart ... Sarcomeric Protein Disorders ... Diagnosis #Causes #differential ... #cardiology #algorithm
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 ... event, follow ACC algorithm ... risk (>5%): - Aortic ... Severe Aortic stenosis