differential diagnosis for aortic stenosis

Specialties NP

Published

My wife has been working on this for a couple of weeks, and I want to help her out and get going in the right direction. her original one was coacertation of the aorta but now she feels that is wrong. what are your opinions?

she is going for her NP now ( I am very proud of her)

Thanks in advance :)

Few DD I can think of:

Rheumatic heart disease

Heart Failure

Aortic Insufficiency

Angina

Cardiomegaly

Pulmonary Congestion

Specializes in ACNP-BC, Adult Critical Care, Cardiology.

When the term "differential diagnosis" is used, it means the process of enumerating and ruling out a host of probable medical diagnoses that could account for a presenting symptom or a constellation of symptoms that could also include abnormal labs. Aortic stenosis is a diagnosis. Chest pain, shortness of breath, syncope are presenting symptoms for which Aortic Stenosis could be entertained in the differential diagnosis.

If you are talking about a systolic murmur then going anatomically from where the murmur is heard:

Benign flow murmur

Proximal aortic dissection

Aortic sclerosis w/o physiologic stenosis

Aortic stenosis

Pulmonic stenosis

ASD

VSD

PDA

Tricuspid Regurg

Mitral Regurg

Endocarditis causing one or more of the above

Rheumatic heart disease causing one or more of the above

Aortic stenosis will often present with chest pain, heart failure, syncope which each have a massive ddx.

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