7 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... dissection • ... pressure >10mmHg: • Cardiac ... Abnormalities #Disorders #Cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... • Cardiac surgery ... Examine for: • Pulse ... BP • New AR murmur ... #Dissection #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... dissection • ... Pulmonary embolism • Cardiac ... EKG • Bedside ultrasound ... • CXR • CBC
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... regurgitation; AS, aortic ... #Heart #Cardiology ... #PhysicalExam #Diagnosis
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... /V/diaphoresis Aortic ... Dissection: - ... cocaine - PEX: New murmur ... , Pulse deficit,
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
pressure (pulse ... pressure ratio 0.25), murmur ... → no signs of CXR ... Consider cardiac ... #management #cardiology
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 ... one post op Cardiology ... stratification #diagnosis