Mitral stenosis: Difference between revisions

(Text replacement - "==Treatment==" to "==Management==")
(Text replacement - "==Diagnosis==" to "==Evaluation==")
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***[[A-fib]]
***[[A-fib]]


==Diagnosis==
==Evaluation==
*[[ECG]]
*[[ECG]]
**RAD
**RAD

Revision as of 02:51, 24 July 2016

Background

Clinical Features

  • Mid-diastolic murmur
  • Symptoms
    • Exertional dyspnea
    • PND
    • Acute pulmonary edema
    • R-sided HF symptoms
    • Hemoptysis (pulm 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