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Cardiology Internal Med. > Aortic And Tricuspid Reg. > Flashcards

Aortic And Tricuspid Reg. Flashcards

1
Q

Name 2 types of etiologies for aortic regurgitation?

A

Valvular deformities

Aortic root deformities

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2
Q

Name 4 valvular etiology of aortic regurgitation?

A

Rheumatic heart disease
Infective endocarditis
Congenital bicuspid Aortic valve
Congenital membranous sub aortic stenosis

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3
Q

Name the most common etiology of aortic regurgitation?

A

Rheumatic heart disease

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4
Q

Name 4 aortic root abnormalities of aortic regurgitation?

A 
Marfans syndrome
Osteogenesis imperfeca
Ankylosing spondylitis 
Severe HPN
Syphilis
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5
Q

What are the two hemodynamic abnormalities in aortic regurgitation?

A 
Decreased DBP(imapired forward flow)
Increased SBP(increased ejection volume)
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6
Q

What is the hemodynamic abnormality causing allthe clinical findings?

A

Wide pulse pressure

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7
Q

Give all signs present in aortic regurgitation?

A 
Durozeizs sign
Corrigans pulse
Water hammer pulse
Demussits signs
Hills sing
Rosenbach sign
Muller sign
Traubes sign
Gerhard sign
Quinckies sign
Beckers sign
Austin flint murmur
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8
Q

A sign of aortic regurgitation characterised by visible arterial pulsation and also presence of systolic and diastolic murmurs on femoral artery compression?

A

Durozeiz sign

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9
Q

A sign of aortic regurgitation characterised by visible carotid pulse?

A

Corrigan sign

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10
Q

Name a sign characterised when checking radial pulse with arm raised?

A

Water hammer pulse

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11
Q

Name a sign present in aortic regurgitation characterised by nodding of head during systole?

A

Demussits sign

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12
Q

A sign characterised by exaggeration of SBP between femoral artery and brachial artery?

A

Hills sign

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13
Q

A sign of aortic regurgitation characterised by presence of double tone in femoral artery on light palpation?

A

Traubes sign

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14
Q

Aortic regurgitation sign characterised by pulsatile liver?

A

Rosenbach sign

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15
Q

Aortic regurgitation with pulsatillae spleen?

A

Gerhard sign

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16
Q

Visible pulsations on finger nailbed in aortic regurgitation is characteristic of which sign?

A

Quinckies sign

17
Q

Sign of accentuated retinal artery pulsation in aortic regurgitation

A

Beckers sign

18
Q

Presence of pulsatile uvula?

A

Mullers sign

19
Q

Explain austin flint murmurs?

A

Due to regurgitation of large amounts of blood in left ventricle, there’s a compression of anterior mitral leaflet towards the posterior one.
This apparent stenosis of mitral valve cause turbulence and cause a mid to late diastolic murmur.

20
Q

Wide pulse pressure are seen in which all conditions?

A 
Aortic regurgitation 
Tricuspid regurgitation 
PDA
VSD
Fever
Anemia 
Thyrotoxicosis
Pregnancy 
AV fistula 
Exercise 
Complete heart block
Anxiety
21
Q

What is the ECG finding on aortic regurgitation?

A

Narrow deep Q waves in leftprecordial leads.due to left ventricular hypertrophy with volume overload

22
Q

What is the CXR finding in aortic regurgitation?

A

Ledt ventricular and aortic regurgitation.

23
Q

What is 2D ECHO finding in aortic regurgitation?

A

Dilated left ventricle
Left ventricular overload
Flutter of anterior mitral valve leaflet

24
Q

Treatment of aortic regurgitation?

A 
Diuretics 
ACE inhibitors 
Vasodilator drugs
Salt restrictions 
Aortic valve replacement
25
Q

What are the indications for aortic valve replacement

A

Ejection fraction less than 55%

LV systolic diameter more than 55 mm

26
Q

Most common etiology of tricuspid regurgitation

A

Secondary to RV dilationor tricuspid annulus

27
Q

What are the clinical findings in patients with tricuspid regurgitation?

A 
Pan systolic murmurs 
Carvallos sign
Systolic pulsation of liver
Marked hepatomegaly 
Vitum sign
28
Q

Which sign is characterised by increased intensity of pan systolic murmurs if you put pressure on right hypochondria region.

A

Vitum sign of tricuspid regurgitation

Cardiology Internal Med. (10 decks)

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