boards Flashcards
Holt Oram PE finding
fixed split S2 2/2 secundum ASD
What is holt oram syndrome>
atrioskelatal dysplasia, tiny or missing thumbs
Williams Syndrome (7 del) PE changes
Supravalvular AS
Marfan syndrome genetic defect
fibrillin 1
Skin abn name the sundrome
- Striae
- Loose hyperextensile skin
- Telangectasias
- Cushings, Marfans
- E-Danlos
- HHT. (also pulmonary shunt) Crest, Variant SSc
Erythema chronicum migrans think of
Acute Rheumatic Fevere
target lesions of lyme
erythema migrans
Severe TR is associated with what atrial wave form
prominent cv waves.
Tamponade has what neck vein finding?
absent Y descent which is early atrial filling due to it being encased in blood.
Kussmals sign
increase in JVP with inspiration.
ABI normal. mild moderate, severe
Normal > 0.9
Mild 0.7 to 0.9
Mod 0.4-0.7
Severe 0.0 to 0.4
Pulsus paradoxis is > X mmHg fall
> 10 mmHg
In nrml patient what happend to bp in the 10 seconds after a valsalva
inital brief decrease, ABP increases
CHF 2 possibles respsonses with CHF and valsalva
- square wave response. During valsalva in severe CHF goes up throught then decreases after.
Fixed splitting board cause?
ASD
Loud single S2
pHTN
Paradoxical splitting
LBBB or RV Pacing. severe AS, Hocm
ejection click
non ejection click
BAV
MVP (after caroditd upstroke
Valsva use for hocm vs. AS
Hocm louder, AS murur softer
MVP radiation
post leaflet = ant radiation
ant leaflet = post radiation
hoiosystolic murmurs (3)
VSD, MR, TR (Regurg murmurs are the chroic ones. …
MS disastolic murmur opening snap caveat
OS happens only in sinus
Continuous murmur
Ruptured sinus, PDA, AV fistula
