7 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... dissection • ... Abnormalities #Disorders #Cardiology ... #Algorithm #causes
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Examine for: • Pulse ... BP • New AR murmur ... #Dissection #diagnosis ... #management #vascular
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... - Diagnosis and ... High or low BP, Pulse ... New diastolic murmur ... #Dissection #Diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic ... dissection • ... EKG • Bedside ultrasound ... • CXR • CBC
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
/V/diaphoresis Aortic ... Dissection: - ... cocaine - PEX: New murmur ... , Pulse deficit, ... #Management #Algorithm
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
narrow proportional pulse ... pressure (pulse ... pressure ratio 0.25), murmur ... → no signs of CXR ... #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 ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis