8 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... • Hypovolemic shock ... regurgitation • High ... Abnormalities #Disorders #Cardiology ... Diagnosis #Algorithm #causes
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Hyperdynamic circulation/High ... #Diagnosis #causes ... #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... Assess for high ... Examine for: • Pulse ... deficit/differential ... deficit • Shock
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
High Output Heart ... Congenital (e.g., HHT), Acquired ... #HeartFailure #CHF ... #Diagnosis #cardiology ... #causes
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Physiologic Causes ... Pathologic Causes ... Hyperdynamic circulation/High ... Pathophysiology #causes ... #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
= high-output state ... HF. ... highest on my differential ... EtOH causes thiamine ... Fingernails #Nailbed #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
twitching CARDIAC CAUSES ... Nonarrhythmic Cardiac Causes ... heart disease • Congestive ... NON-CARDIAC CAUSES ... congenital or acquired
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
⚠️ Cardiogenic shock ... causes of heart ... failure • Aortic ... dissection • Other causes ... Rule out other causes