11 results
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
Causes of Diastolic ... Diagnosis Algorithm ... Diastolic: • Aortic ... Stenosis • Severe Aortic ... #causes
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... Differential Diagnosis Algorithm ... #Systolic #Murmurs ... Differential #Diagnosis #Algorithm ... #causes
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... is caused by a ... Consider aortic ... BP • New AR murmur ... Dissection #diagnosis #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Algorithm STEMI ... /V/diaphoresis Aortic ... cocaine - PEX: New murmur ... #Algorithm #differential
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... mainstay of initial management ... • “Mill wheel” murmur ... Intraoperative #Checklist ... #Diagnosis #Management
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
obstetrics, relieve aorto-caval ... of unrelieved aorto-caval ... • Obstetric aorto-caval ... Intraoperative #Checklist ... #Diagnosis #Management
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 ... Endocarditis #diagnosis #management
Perimortem Hysterotomy Instructions

Do 4 minutes into arrest if uterus above the umbilicus

1. Manage Arrest
 • Compressions,
to reduce IVC/aorta ... consider reversible causes ... Obstetrics #Emergency #management ... #checklist
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... witnessed many cases ... #Management #Trauma ... BigTrauma #BeforeCT #Checklist
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
irregular rhythm, new murmur ... event, follow ACC algorithm ... risk (>5%): - Aortic ... Severe Aortic stenosis ... medical and surgical management