Pt Assessment
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| MI | hypotension
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| pericarditis | friction rub; pulsus paradoxus
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| aortic dissection | hypotension, absent peripheral pulses, and murmur of insufficiency
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| P.E. | hypotension
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| tension PTX | resonance to percussion, decreased breath sounds, decreased fremitus
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| esophageal rupture |
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| MVP | Mid-systolic click with or without MR
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| myocarditis |
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| pulmonary HTN |
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| HOCM |
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| aortic stenosis physical exam: | harsh midsystolic crescendo-decrescendo SEM best at RUSB 2nd R intercostal, radiates to b/l carotids. Louder w/squatting, quieter w/standing or Valsalva; sit patient forward, exhalation
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| CHF/LVH | bibasilar rales or crackles; S3 or S4 gallop; JVD; edema
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| pneumonia |
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| aortic insufficiency physical exam: | early diastolic & decrescendo (ejection) at 3rd L intercostal, radiates to LSB. S3 gallup
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Created by:
Abarnard
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