Mitral stenosis: Difference between revisions

(Text replacement - "==Diagnosis==" to "==Evaluation==")
(Text replacement - "pulm " to "pulmonary ")
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**Acute [[pulmonary edema]]
**Acute [[pulmonary edema]]
**R-sided HF symptoms
**R-sided HF symptoms
**Hemoptysis (pulm htn > ruptured bronchial vein)
**Hemoptysis (pulmonary htn > ruptured bronchial vein)
**Precipitants:
**Precipitants:
***[[Anemia]]
***[[Anemia]]

Revision as of 10:24, 30 July 2016

Background

Clinical Features

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

Evaluation

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

Differential Diagnosis

Valvular Emergencies

Management

  • Diuretics
    • Alleviates pulmonary congestion
  • A-fib treatment
  • Hemoptysis
    • Consider transfusion / surgery consult
  • Endocarditis prophylaxis after replacement

Complications

See Also

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