Pre PACES Podcast #101 Perfect Presentations: Aortic stenosis
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Nov 24, 2024 Discover a fresh format focusing on presenting model cases for PACES exam prep. Dr. Sam Williams delves into aortic stenosis, sharing key clinical findings like characteristic murmurs and differential diagnoses. He discusses essential investigations such as echocardiography and blood tests to confirm diagnoses. Learn about management strategies, including when to refer for valve replacement and how to monitor asymptomatic cases. Listener feedback is encouraged to enhance this new presentation style!
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Open With Your Diagnosis
- Present your diagnosis early and clearly to guide the examiner through your findings and plan.
- Justify key investigations and show proactive thinking to save time and demonstrate clinical reasoning.
Use Differentials To Strengthen Diagnosis
- Use differential diagnoses to justify your conclusion and show breadth of knowledge.
- Explain why alternatives (sclerosis, regurgitation, HCM, pulmonary stenosis) are less likely in this patient.
Look For Clinical Severity Signs
- Check for clinical severity signs: absent S2 and slow-rising pulse suggest severe aortic stenosis.
- Measure blood pressure and pulse pressure as part of routine observations.