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differential management causes chestpain abnormalities aorta cardiomyopathy chest disorders evaluation heartfailure hfref mediastinal noncardiac obgyn pain perioperative peripartum pharmacology ppcm
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
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 - Diagnosis and Acute Management Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... High or low BP, Pulse ... New diastolic murmur ... #Dissection #Diagnosis ... #vascular
Mediastinal Widening - Differential Diagnosis • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: ... Aortic dissection ... , Aortic anourysm ... Pericardial effusion • CXR ... #pulmonary #radiology
Chest Pain - Differential Diagnosis Algorithm Cardiovascular Causes: - Outflow Obstruction • Aortic
- Differential Diagnosis ... Algorithm Cardiovascular ... Dissection ... Mediastinal Causes: - Vascular ... ChestPain #Noncardiac #Cardiology
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
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,
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 ... risk (>5%): - Aortic ... one post op Cardiology ... stratification #diagnosis
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Relaxin: reduces vascular ... heart failure • Aortic ... dissection • Other ... congestion on a CXR ... Cardiomyopathy #Cardiology
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