Cor pulmonalae

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DIFFERENTIAL DIAGNOSIS : 

DIFFERENTIAL DIAGNOSIS

Oedema : 

Oedema Pitting Congestive cardiac failure Cirrhosis of liver Nephrotic syndrome Hypoproteinaemia with severe anemia Pericardial effusion Constructive pericarditis Drugs – nifedepine, liquorice, corticosteroid, estrogen Venous obstruction Beriberi

Slide 3: 

Non pitting / Solid oedema Myxoedema Lymphatic oedema eg : filariasis Angioneurotic oedema Scleroderma Pedal oedema Congestive cardiac failure Cirrhosis of liver Nephrotic syndrome Hypoproteinaemia with severe anemia Pericardial effusion Constructive pericarditis Drugs – nifedepine, liquorice, corticosteroid, estrogen Venous obstruction Filariasis & chronic lymphatic obstruction Miscellaneous – cellulitis, lipidemia

Chronic rheumatic heart disease : 

Chronic rheumatic heart disease Breathlessness Palpitation or chest pain Tachycardia Cardiac enlargement Soft systolic murmur Soft mid diastolic murmur Jones criteria of rheumatic fever

Coronary heart disease : 

Coronary heart disease

Myocardial infarction : 

Myocardial infarction Hypotension Oliguria Confusion Cold calmy peripheries Breathlessness Hypoxia Cyanosis Inspiratory crackles at lung bases Decreased CO Pulmonary oedema

Mitral stenosis : 

Mitral stenosis Symptoms Breathlessness Fatigue Oedema, ascitis Palpitation Haemoptysis Cough Chest pain Signs Atrial fibrillation Auscultation- loud 1st heart sound, mid diastolic murmur Crepitations ECG : Bifid P waves

Mitral regurgitation : 

Mitral regurgitation Symptoms Dyspnoea Fatigue Palpitation Oedema Ascitis Signs Atrial fibrillations/ flutters Cardiomegaly Apical pansystolic murmur Soft S1, apical S3 Crepitations Signs of RHF

Aortic stenosis : 

Aortic stenosis Symptoms Asymptomatic- mild or moderate Angina Exertional syncope Sudden death Signs Ejection systolic murmur Slow rising carotid pulse Thrusting apex beat Signs of pulmonary congestion - crepitations