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Internal Medicine > #15: ACS > Flashcards

#15: ACS Flashcards

1
Q

Opening statement

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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2
Q

⭐ definition of AMI

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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3
Q

Categories of AMI

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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4
Q

Epidemiology

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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5
Q

Risk factors?

A

Sfts

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6
Q

Pathophysiology

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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7
Q

⭐ Pathologic types of MI

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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8
Q

Explain the radiation to left arm etc

A

Sfts

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9
Q

Anginal equivalents?

A

Sfts

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10
Q

⭐Clinical manifestations

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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11
Q

Differentials?

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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12
Q

What to ask in the prinary history

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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13
Q

What to ask in the secondary history?

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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14
Q

What to ask in the tertiary histor?

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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15
Q

What to look for in PE?

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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16
Q

What is S3

A

The third heart sound (S3), also known as the “ventricular gallop,” occurs just after S2 when the mitral valve opens, allowing passive filling of the left ventricle. The S3 sound is actually produced by the large amount of blood striking a very compliant left ventricle.

CLINICAL PEARL: A S3 heart sound is often a sign of systolic heart failure, however it may sometimes be a normal finding.

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17
Q

What is S4

A

The fourth heart sound (S4), also known as the “atrial gallop,” occurs just before S1 when the atria contract to force blood into the left ventricle. If the left ventricle is noncompliant, and atrial contraction forces blood through the atrioventricular valves, a S4 is produced by the blood striking the left ventricle.

CLINICAL PEARL: A S4 heart sound is often a sign of diastolic heart failure, and it is rarely a normal finding (unlike a S3).

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18
Q

⭐ How to diagnose MI

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

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19
Q

What to request?

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

20
Q

How to determine NSTEMI and STEMI on ECG

21
Q

Management of Unstable angina?

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

22
Q

Discuss the cardiac enzymes and markers

23
Q

⭐ Management of NSTEMI?

A

“Excuse me while I kiss the stars.”

-Kobe Bryant

24
Q

Goals of Tx in NSTEMI

25
Discuss anti ischemic therapy
Sfts
26
Discuss nitrates
Sfts
27
Discuss beta blockers
Sfts
28
Discuss CCBs
Sfts
29
Discuss morphine
Sfts
30
What is dual antithrombotic therapy
Sfts
31
Discuss aspirin
Sfts
32
Discuss clopidogrel
Sfts
33
Discuss enoxaparin
Sts
34
Discuss statin therapy
Sfts
35
⭐ management of STEMI
"Excuse me while I kiss the stars." | -Kobe Bryant
36
What are your goals in tx for STEMI
Sfts
37
Discuss reperfusion therapy
Sfts
38
Indications of PCI
Sfts
39
Absolute contraindications to fibrinolytic therapy
Absolute contraindications • Any prior ICH • Known structural cerebral vascular lesion (e.g., arteriovenous malformation) • Known malignant intracranial neoplasm (primary or metastatic) • Ischemic stroke within 3 mo • EXCEPT acute ischemic stroke within 4.5 h • Suspected aortic dissection • Active bleeding or bleeding diathesis (excluding menses) • Significant closed-head or facial trauma within 3 mo • Intracranial or intraspinal surgery within 2 mo • Severe uncontrolled hypertension (unresponsive to emergency therapy) • For streptokinase, prior treatment within the previous 6 mo (AHA, 2013)
40
Relative contraindications to fibrinolytic therapy
Relative contraindications • History of chronic, severe, poorly controlled hypertension • Significant hypertension on presentation (SBP >180 mm Hg or DBP >110 mm Hg) • History of prior ischemic stroke >3 mo • Dementia • Known intracranial pathology not covered in absolute contraindications • Traumatic or prolonged (>10 min) CPR • Major surgery (<3 wk) • Recent (within 2 to 4 wk) internal bleeding • Noncompressible vascular punctures • Pregnancy • Active peptic ulcer (AHA, 2013)
41
Indications for CABG
Sfts
43
Supportive care post-MI
Sfts
44
Discuss pharmaco therapy for STEMI
Sfts
45
Prognosis
"Excuse me while I kiss the stars." | -Kobe Bryant
45
Preventive aspect of mgt
"Excuse me while I kiss the stars." | -Kobe Bryant
46
What is the universal classification of MI?
Be micro-ambitious
47
What is anginal pain?
Be micro-ambitious

Internal Medicine (13 decks)

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