3min chapter

The Intern At Work: Internal Medicine cover image

130. Going Backwards – An Approach to Mitral Regurgitation

The Intern At Work: Internal Medicine

CHAPTER

The Work Up for a Patient With Suspected M R and Heart Failure

In an acute care setting, the work up for a patient with suspected m r and signs of heart failure should investigate for all common causes of hypaia. For volume status, looking for hyper volemia with elevated j v p three or more centimeters above sternal angle is elevated. Oscultation of the lungs for crackles is important, as patients with acute mar or chronic m ar and heart failure in a state of exasterbation will usually have pulmonary adema. The single best diagnostic tool for the diagnosis and grating of m r is trans thoracic echo cardiography. Critically ill patients with acute m r require urgent treatment. In confirmed cases of acute

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