3rd year cards nuggets Flashcards
Pink cheeks suggests what valvular disease
MS
Anti-emetic for MI
IV metoclopramide
Most common form of pericarditis
Fibrinous
What would you see in longer term PAD as opposed to acute
Hair loss
Muscle wasting
What does tapping apex beat suggest
MS
What are cannon waves on JVP seen in
3rd degree HB
Drugs used to manage WPWS
Amiodarone
Flecainide
Preferred as less blockage at AVN
What indicates LBBB on ECG
WILLIAM
Widened QRS
Pathophysiology of WPW
Defect where accessory pathway joins the atria to ventricles prior to AVN- early excitation of the ventricles
What is rare presentation of mitral stenosis
Get hoarse voice and dysphagia from LA enlargement
Paroxysmal AF management
Pill in pocket- flecainde
What presents with ST elevation, unraised trop and chest pain at nigth
Variant angina
Radiofemoral delay causes
Aortic dissection and coarctation
What happens to pulse pressure as get older
Widens
What parts of virchows triad are antiplatelets vs DOACs aimed at
Antiplatelets- vessel injury
DOACs- coagulopathy
What layers shears in aortic dissection
Tunica intima
Wires over sternum on CXR indicate what
Previous sternotomy
What considered reduced EF HF
Less than 40%
Differentiating between pericarditis and myocarditis on bloods
Troponin and CKMB much more elevated in myocarditis
Genetic causes of long QT
Change in K+ channel
Causes of long QT
Electrolytes- low K, Mg, Ca
Drugs- TCA, antihistamines, antipsychotics, methadone
Raised ICP
Genetic
Causes of constrictive pericarditis
TB
Sarcoid
Malignancy
When is pericarditis pain worse
Lying down
Breathing in
How administer flecainide or amiodarone for AF
IV
8 reversible causes of cardiac arrest
4 Hs
- hypothermia
- hypovolaemia
- hypoxia
- hyperkalaemia (metabolic causes)
4 Ts
- tamponade
- thrombous
- toxins
- tension pneumothorax
Causes of fibrosis in the lung apices
BREAST
Berryliosis
Radiation
EAA
Ank spond
Sarcoid
TB
Infections causing cavitating lesion
Klebsiella
S aureus
TB
Youngs syndrome triad
Bronchiectasis
Sinusitis
Infertility
Sail sign
Left lower lobe collapse
What does a purpuric rash or petechiae suggest about haemoptysis
Vasculitis
What is most likely lobe for aspiration pneumonia
Right lower
Mixed sclerotic and lytic lesion
Pagets
Pagets management
Bisphosphonates
What is spondylolisthesis
When vertebrae gets forced forward and can compress chord
How can spondyloisthesis present
Trauma
Back pain
Neuro signs
What is only alpha and beta blocker
Labetalol
