11 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... Algorithm Unequal ... beats: • Left heart ... Abnormalities #Disorders #Cardiology ... #Algorithm #causes
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
CHF - Left-Sided ... Heart Failure - ... Differential Diagnosis ... Algorithm Valvular ... #HeartFailure #Cardiology
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... Algorithm Benign ... • Rheumatic Heart ... #Cardiology #Differential ... #Diagnosis #Algorithm
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... regurgitation; AS, aortic ... #Maneuvers #Heart ... #Cardiology #PhysicalExam ... #Diagnosis
Peripheral Signs of Aortic Regurgitation

Corrigan sign	Prominent carotid and supraclavicular pulsations
Alfred de Musset sign	Head nodding with heart
Peripheral Signs of Aortic ... pupil size with heart ... and diastolic murmur ... Insufficiency #Cardiology ... #Diagnosis
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
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
confirm high-output HF ... case of diastolic heart ... (beriberi) and AV ... AorticRegurgitation #Diagnosis ... Fingernails #Nailbed #Cardiology
Renal Artery to IVC Arteriovenous Fistula on Angiography

44 yr male, DOE, bounding pulse, BP 150/68, mid
DOE, bounding pulse ... 150/68, mid syst murmur ... Ultrasound showed ... #Artery #IVC #AVF ... cathlab #vascular #radiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
: • Valvular heart ... Decompensated HF ... with afibb) • Pulse ... Fibrillation #AFib #diagnosis ... #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 ... disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... stratification #diagnosis