Mitral stenosis: Difference between revisions

m (Rossdonaldson1 moved page Mitral Stenosis to Mitral stenosis)
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==Diagnosis==
==Background==
*Mid-diastolic murmur
 
==Clinical Features==
*Mid-diastolic [[murmur]]
*Symptoms
*Symptoms
**Exertional dyspnea
**Exertional dyspnea
**PND
**PND
**Acute pulmonary edema
**Acute [[pulmonary edema]]
**R-sided HF symptoms
**R-sided HF symptoms
**Hemoptysis (pulm htn > ruptured bronchial vein)
**Hemoptysis (pulm htn > ruptured bronchial vein)
**Precipitants:
**Precipitants:
***Anemia
***[[Anemia]]
***Pregnancy
***Pregnancy
***Infection
***Infection
***A-fib
***[[A-fib]]
*ECG
 
==Diagnosis==
*[[ECG]]
**RAD
**RAD
**Biphasic P waves
**Biphasic P waves
*CXR
*[[CXR]]
**Straightening of right heart border
**Straightening of right heart border
==Differential Diagnosis==
{{Valvular emergencies DDX}}


==Treatment==
==Treatment==
*Diuretics
*[[Diuretics]]
**Alleviates pulmonary congestion
**Alleviates pulmonary congestion
*A-fib treatment
*[[A-fib]] treatment
*Hemoptysis
*Hemoptysis
**Consider transfusion / surgery consult
**Consider transfusion / surgery consult

Revision as of 08:08, 31 January 2015

Background

Clinical Features

  • Mid-diastolic murmur
  • Symptoms
    • Exertional dyspnea
    • PND
    • Acute pulmonary edema
    • R-sided HF symptoms
    • Hemoptysis (pulm htn > ruptured bronchial vein)
    • Precipitants:

Diagnosis

  • ECG
    • RAD
    • Biphasic P waves
  • CXR
    • Straightening of right heart border

Differential Diagnosis

Valvular Emergencies

Treatment

  • Diuretics
    • Alleviates pulmonary congestion
  • A-fib treatment
  • Hemoptysis
    • Consider transfusion / surgery consult

See Also