3276 results
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
Causes of Diastolic ... Murmurs - Differential ... Diastolic: • Aortic ... Stenosis • Severe Aortic ... Diagnosis #Algorithm #causes
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... Stenosis: • Aortic ... Supravalvular Aortic ... #Systolic #Murmurs ... Diagnosis #Algorithm #causes
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pearls Aortic dissection ... is caused by a ... Consider aortic ... BP • New AR murmur
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 ... Septic Emboli Cause ... Treat underlying cause ... block, annular or aortic
Characteristics that are more likely to be associated with an innocent murmur include a systolic (rather
with an innocent murmur ... than diastolic) murmur ... position); and murmurs ... is a Still murmur ... #pediatrics #murmurs
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Maneuvers for Murmurs ... result in INCREASED murmur ... result in INCREASED murmur ... Auscultation #Maneuvers #Murmurs
Murmurs Needing Echocardiography Evaluation #Management #EM #IM #Cardiology #Murmur #Benign #Characteristics #Echocardiogram #ALiEM
Murmurs Needing ... IM #Cardiology #Murmur
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... • New cardiac murmur ... Septic emboli cause ... Treat underlying cause ... block, annular or aortic
Type A Aortid Dissection - Suprasternal View

Type A Aortic Dissection (TAD), present on this suprasternal view
Type A Aortid Dissection ... View Type A Aortic ... Aortic insuff, pericardial ... supports PE or other causes ... #TypeA #Aortic #
Maneuvers to Identify Systolic Murmurs 
Effect of Squatting and Valsalva:
 - Mitral Valve Prolapse 
 -
Identify Systolic Murmurs ... Cardiomyopathy - Aortic ... Maneuvers #Systolic #Murmurs