4 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... - Differential ... Diagnosis Algorithm ... • Rheumatic Heart ... #Cardiology #Differential
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
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... Pulse deficit/differential ... BP • New AR murmur ... opiates • Control heart ... Dissection #diagnosis #management
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