16 results
Congenital Heart Disorders - Classification and Differential Algorithm

- Amy Chung, MD, MSc @AmyChung 

#Congenital #Heart #Disorders
Congenital Heart Disorders ... Classification and Differential ... Congenital #Heart #Disorders ... Peds #Pediatrics #Cardiology ... #Cyanotic #Pink
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Sepsis #Wide #Pulse ... #Pressure #Differential ... Diagnosis #causes #cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Pulse Abnormalities ... - Differential ... - Variation in pulse ... Abnormalities #Disorders ... #Cardiology #Differential
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential ... : • Valvular disorders ... Myeloproliferative disorders ... #Pressure #Differential ... Pathophysiology #causes #cardiology
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
Pathophysiology and Differential ... - Congenital (e.g ... Myeloproliferative Disorders ... Pathophysiology #Differential ... #Diagnosis #cardiology
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Nail Disorders secondary ... halt nail growth (e.g ... poisoning • Cyanosis ... #dermatology #Differential
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
Quincke's Pulse ... orthopnea/PND, wide pulse ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Connective tissue disorder ... e.g. ... Examine for: • Pulse ... deficit/differential ... blood pressure: e.g
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... limb ischemia/cyanosis ... refill - Poor pulses ... #Leg #pain #differential ... extremity #msk #physicalexam
Common Ulcers of the Ankles and Feet

Chronic Venous Insuffciency 
This condition usually appears over the medial
, and at times cyanosis ... areas of trauma (e.g ... with decreased pulses ... neuropathy, neurologic disorders