MS

Description

Mind Map on MS, created by albrechtcarlos on 23/04/2014.
albrechtcarlos
Mind Map by albrechtcarlos, updated more than 1 year ago
albrechtcarlos
Created by albrechtcarlos about 10 years ago
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Resource summary

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