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cardiology maneuvers auscultation differential endocarditis heart murmur cardio cardiomyopathy clinical doppler hocm hypertrophic identification infectiousdiseases intensity management nejm obstructive palpitations
Cardiac Auscultation Maneuvers for Murmurs Maneuvers result in INCREASED murmur: • Inspiration - Right-sided • Valsalva -
Cardiac Auscultation ... • Handgrip - Mitral ... #Cardiac #cardiology ... #physicalexam # ... diagnosis
Cardiac Murmurs and Maneuvers An algorithm demonstrating the effect of various maneuvers on systolic murmurs. TR, tricuspid
Cardiac Murmurs ... regurgitation; AS, aortic ... #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Maneuvers to Identify Systolic Murmurs Effect of Squatting and Valsalva: - Mitral Valve Prolapse -
Identify Systolic Murmurs ... and Valsalva: - Mitral ... Cardiomyopathy - Aortic ... Identification #PhysicalExam ... #Diagnosis #Cardiology
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur • Occurs during systole • Crescendo-decrescendo murmur • Heard best
Cardiomyopathy: Heart Murmur ... • Radiates aortic ... /mitral areas ... #Cardiac #Cardiology ... #Diagnosis #HOCM
Severe Mitral Stenosis- The physical examination revealed a right parasternal heave, a loud S1, a midpeaking
systolic ejection murmur ... revealed moderate aortic ... mean transmitral gradient ... clinical #doppler #radiology ... stenosis #cardio
Cardiac Auscultation - Murmur Intensity Grading Grade 1 Audible with a good stethoscope in a quiet room Grade 2 Quiet
Cardiac Auscultation ... Grading Grade 1 ... #Intensity #Grading ... #diagnosis #cardiology ... #physicalexam
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
CA • Involves aortic ... and mitral regurgitation ... murmur • Valvular ... block, annular or aortic ... #management #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
heart is pounding, racing ... heart failure • Mitral ... disease (e.g., aortic ... stenosis) • Severe mitral ... regurgitation • Severe aortic
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Ovarian CA, involves aortic ... and mitral regurgitation ... murmur • Valvular ... block, annular or aortic
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