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Common Conditions
Bronchiectasis
COPD
Fibrosing Alveolitis
Pleural Effusion
Valvular Disease
Chronic Liver Disease
Hepatomegaly
Polycystic Kidneys
Renal Transplant
Motor Neuron Disease
Multiple Sclerosis
Parkinson's
Peripheral Neuropathy
Ankylosing Spondylitis
Psoriasis
Rheumatoid Arthritis
Systemc Sclerosis
Acromegaly
Cushing's Disease
Goitre
Thyroid Status
Clubbing
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Valvular Disease

Aortic Stenosis Aortic Regurg Mitral Regurg Mitral Stenosis Tricuspid Regurg
Pulse Slow rising Collapsing, large volume - AF -
JVP - - - - Up, large V waves
Apex Not displaced, Pressure overloaded Displaced, Volume overloaded Displaced, volume overloaded Tapping -
Heart sounds Soft S2 - Soft S1 Loud S1 -
Auscul- tation End systolic murmur radiating to carotids End diastolic murumur at left sternal edge Pan systolic murmur radiating to axilla Middle diastolic murmur, ?opening snap Pan systolic murmur left sternal edge, louder inpiration
Position Right SE 2nd intercostal space Right SE 2nd intercostal space
Apex beat
Apex beat Left SE 2nd intercostal space
BP Narrow pulse pressure Wide pulse pressure - - -
Other - Corrigan's, duroziez etc - Malar flush
Valvotomy scar
Pul hyper- tension
Pulsatile hepatomegaly
Causes Bicuspid valve
Senile calcification
Rheumatic
Endocarditis
Ank Spon
Rheumatic
Marfan's
Syphilis
Prolapse
Conn tissue
Endocarditis
Rheumatic
Rheumatic Pul hypertension
RV dilation
Incidental findings Stigmata of infective endocarditis, Connective tissue disease
+ve signs As above
Differential diagnosis As above
Function Dominant lesion , Pulmonary hypertension, L/R heart failure
Tests CXR, ECG, Echo, Exercise tolerance test, Angiogram

Extensions

AR: Look for infective endocarditis, Marfan's, Ankylosing spondylitis, Argyll-Robertson pupils

Notes

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