15 results
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 ... stenosis; VSD, ... #Heart #Cardiology
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 ... pressure >10mmHg: • Cardiac ... #Differential #
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... disease • Cardiac ... Pulse deficit/differential ... BP • New AR murmur ... opiates • Control heart
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
septal defect (VSD ... Overriding aorta ... typical boot shaped heart ... the most common cardiac ... #peds #pediatrics
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
R shunt: PDA, VSD ... determines if cardiac ... interrupted arch, aortic ... #presentation #Differential ... Blue #Gray #Baby #Peds
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 ... murmur • Valvular ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... block, annular or aortic
Post Myocardial Infarction VSD on POCUS Echocardiogram

Older female with hx of severe GERD. Worsening over 8
Myocardial Infarction VSD ... over 8 day and meds ... Harsh systolic murmur ... heard throughout ... echocardiogram #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 ... exam Determine Cardiac ... event, follow ACC algorithm ... risk (>5%): - Aortic