6 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pulse deficit/differential ... BP • New AR murmur ... opiates • Control heart ... #management #vascular
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 ... dissection • ... beats: • Left heart ... #Differential #
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Algorithm STEMI ... /V/diaphoresis Aortic ... Dissection: - ... cocaine - PEX: New murmur ... #Algorithm #differential
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 ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management ... #cardiology
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 ... medical and surgical management