Zusammenfassung der Ressource
MS
- Dysphagia
Hoarseness A-fib
Hemoptysis
- DIASTOLIC, OS, worse
w/squat, leg raise and
handgrip
- EKG: biphasic P
CXR: 2nd bubble
elevates left bronchus
- ballon
- Valvular Disease
- AS
- senile calcif biscuspid
valve rheumatic
- Angina
Syncope
- SYSTOLIC crescendo -
decrescendo to
carotid, better
w/Valsalva and standing
- EKG: LVH
S in V1 R in
V5
- valve replacement
- MR
- MVP, HTN, endocarditis
- CHF
- panSYSTOLIC to axilla
worse w/ squat, leg
raise and handgrip
- echocardiogram
- ACEi/ARBs, valve replace if LVESD > 40mm
- AR
- MI, HTN, endocarditis, Marfan, AS, Reiter
- CHF, widel pulse
pressure,
water-hummer,
Quincke pulse, Hill
sign, Musset
- EKG: LVH
- ACEi./ARBs, nifedipine, valve replace if LVESD > 55mm
- DIASTOLIC, decrescendo,
lower LSB, better w/
Valsalva and standing
- MVP
- anatomic variant,
Marfan, Ehlers -
Danlos
- asymptomatic,
chest pain,
palpitations,
panic attacks
- midSYSTOLIC click,
better w/ squat, leg raise
and handgrip, worse w/
Valsalva and standing
- echocardio
- BB, valve repair
- RF