VWD cardiac clinical - GrepMed

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Approach to Von Willebrand disease (VWD)

By Matthew Ho, MD PhD @MatthewHoMD

#VWD #Von #Willebrand #VonWillebrand #disease #hematology

Willebrand disease (VWD ... MatthewHoMD #VWD

Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
• Inspiration - Right-sided
• Valsalva -

Cardiac Auscultation ... regurgitation, VSD ... regurgitation, VSD ... Maneuvers #Murmurs #Cardiac

Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Stroke Volume & Cardiac ... Run PWD trace 4 ... Trace around PWD ... Stroke #Volume #Cardiac

Platelet disorders and Aggregometry
Glanzmann Thrombasthenia
• Defective aggregation to all agonists except ristocetin
• Normal platelet,

also be seen in vWD ... differentiate vWD ... BS by measuring vWF

Patch dehiscence (post surgical correction of congenital VSD) on Echocardiogram

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#VSD #Patch #dehiscence

of congenital VSD ... Ivan_Echocardio #VSD ... Echocardiogram #PSAX #clinical

Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs.
TR, tricuspid

Cardiac Murmurs ... aortic stenosis; VSD ... DrJayMohan #Cardiac

Bleeding manifestations
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2

Diagnosis VWF ... (Quantity of VWF ... considered to be low) VWF ... of this plasma VWF ... (differentiate VWD

Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.

septal defect (VSD ... caused the upturned cardiac ... the most common cardiac ... Chest #XRay #CXR #clinical

Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease:
• Bronchitis, Bronchiectasis, Malignancy

Goodpasture's, SLE Cardiac ... Coagulopathy: DIC, vWD

Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least

Cardiac Valve Replacement ... (2017 AHA/ACC VHD ... (2017 AHA/ACC VHD

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