13 results
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
Murmur • Occurs ... • Heard best ... • Radiates aortic ... #Murmur #Cardiac ... #Cardiology #Diagnosis
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... - Differential Diagnosis ... Algorithm Benign ... • Rheumatic Heart ... #Diagnosis #Algorithm
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... disease • Cardiac ... BP • New AR murmur ... opiates • Control heart ... #Dissection #diagnosis
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... #Algorithm #causes
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS Evaluation ... classification, and the HEART ... (+LR 2.6) - Cardiac ... #diagnosis #Algorithm ... #cardiology #Angina
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... +S4, MR and TR Murmurs ... Echocardiography, Cardiac ... Endomyocardial: Carcinoid Heart ... #algorithm
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 • Valvular ... block, annular or aortic ... #management #cardiology
Cardiac Auscultation - Murmur Intensity Grading
Grade 1	Audible with a good stethoscope in a quiet room
Grade 2	Quiet
Cardiac Auscultation ... - Murmur Intensity ... stethoscope #Cardiac ... Intensity #Grading #diagnosis ... #cardiology #physicalexam
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... irregular rhythm, new murmur ... event, follow ACC algorithm ... risk (>5%): - Aortic ... stratification #diagnosis