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cardiology physicalexam clinical endocarditis heartfailure management murmurs abnormal abnormalities cardiomyopathy chf criticalcare disorders foamed hemoptysis icu infectiousdiseases jugular lancisis maneuvers
Severe Tricuspid Regurgitation on JVP Examination What information about the patient do we get from this #JVP
Severe Tricuspid ... / neck vein exam ... Cardiac rhythm? ... Underlying structural heart ... #TR #Lancisis #Sign
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 Systolic Murmurs - Differential Diagnosis Algorithm Benign / Flow / Hyperdynamic: • Pregnancy • Fever • Anemia Supravalvular
Systolic Murmurs - Differential ... Diagnosis Algorithm ... • Rheumatic Heart ... #Diagnosis #Algorithm ... #causes
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
Diagnosis - Absent ... , severe right heart ... Absent y descent - Cardiac ... Jugular #Waveforms #JVP ... #Differential #
Cardiac Murmurs and Maneuvers An algorithm demonstrating the effect of various maneuvers on systolic murmurs. TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... TR, tricuspid regurgitation ... Murmurs #Maneuvers #Heart ... #PhysicalExam #Diagnosis
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Diagnosis Algorithm ... Cardiac Causes ... Stenosis • Tricuspid ... Regurgitation ... #Diagnosis #Algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
Diagnosis Algorithm ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... #Diagnosis #Algorithm ... #causes
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... in the chest or neck ... Severe mitral regurgitation ... Severe aortic regurgitation ... /Afib/WPW) • Loss
Hemoptysis - Differential Diagnosis Framework Massive Hemoptysis: >150-300 mL in 24h Airway disease: • Bronchitis, Bronchiectasis, Malignancy
Goodpasture's, SLE Cardiac ... Mitral stenosis or regurgitation ... , Tricuspid endocarditis ... ), Heart failure ... #causes
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
and Causes Clinical ... Physical Exam: ↑JVP ... Endomyocardial: Carcinoid Heart ... #Causes #differential ... #cardiology #algorithm
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
aortic and mitral regurgitation ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Treat underlying cause ... Substance use: R > L Tricuspid
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