10 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
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... • New cardiac murmur ... Differential Diagnosis ... block, annular or aortic ... #management #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
: • Valvular heart ... • Structural heart ... with afibb) • Pulse ... Fibrillation #AFib #diagnosis ... #management #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
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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... simply a clinical diagnosis ... importantly, bedside ultrasound ... #algorithm #management ... #cardiology #treatment