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clinical diagnosis radiology pocus echocardiogram differential management ekg algorithm radiologyassistant cxr ecg ultrasound video lung physicalexam electrocardiogram causes a4c sign
Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Pregnancy • Fever ... Heart Disease Pulmonary ... • Rheumatic Fever ... cardiomyopathy • Pulmonary ... Systolic #Murmurs #Cardiology
Pulmonary Flow Murmur crescendo-decrescendo, early to mid-systolic Increases Intensity: Laying supine, hyperkinetic circulatory states (e.g., anemia, fever,
Pulmonary Flow Murmur ... e.g., anemia, fever ... Valsalva) #Pulmonary ... Murmur #Cardiac #Cardiology
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Hyperkalemia Pulmonary ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever ... diagnosis #causes #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
patients with pulmonary ... Mediterranean fever ... Differential #Diagnosis #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
night sweats, fever ... Cerebral > Splenic, pulmonary ... Persistent bacteremia/fevers ... diagnosis #management #cardiology
Acute Recurrent Pericarditis = recurrence of Acute Pericarditis (AP) after free interval >4-6 weeks without symptoms, >1/4
RED FLAGS: Fever ... Systemic symptoms: pulmonary ... #rheumatology #cardiology
Faget Sign - Pulse-Temperature Dissociation Causes of Relative Bradycardia • Infectious Causes: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - ... Continuous Fever ... (Step ladder: fever ... Intermittent Fever ... or no fever •
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
night sweats, fever ... Cerebral > Splenic, Pulmonary ... Persistent bacteremia/fevers ... Differential #Diagnosis #cardiology
Causes of Relative Bradycardia - Note the propensity for intracellular organisms. Infectious: Legionella, Psittacosis, Q fever, Typhoid
Psittacosis, Q fever ... , Typhoid fever, ... , Dengue fever, ... Mountain spotted fever ... , Drug fever
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