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semio cardiac > cardiac anamneza > Flashcards

cardiac anamneza Flashcards

1
Q

4 ex arteriopatii functionale- apar mai des la scolar si adolescent

A

acrocianoza
sdr Raynaud
eritromelalgia
livedo reticularis- la adult<40ani

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2
Q

5 ex boli care dau arterite autoimune- apar mai des la adulti <40, F

A

LES
poliarterita nodoasa
arterita Takayatsu
sclerodermie
dermatomiozita

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3
Q

de ce apare ATS la B mai precoce decat la F?

A

F premenopauza protejate de estrogen
B: nivel L mai mare si fumeaza

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4
Q

BCV la B

A

congenitale: St Ao, CoAo, tetralogi Fallot
insuficienta Ao+Mi
ischemie
CPC din BPOC
trombangeita obliteranta, arterita cu cristale de col
ACOMI-ats

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5
Q

BCV la F

A

cong: DSA, persistenta canalului arterial
stenoza Mi Tri, prolaps Mi
CPA- emboliepulmonara
CPC- HTP primara
arterita Takayasu
arteriopatii functionale si autoimune
boala varicoasa si tromboflebita

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6
Q

boli AD si cu ce se asocieaza

A

Marfan- dilatare Ao Asc, Pr Mi si Ao
Ehlers Danlos- anevrisme arteriale si disectie arteriala spontana

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7
Q

boli AR si cu ce se asocieaza

A

glicogenoze-CMR
hemocromatoza-CMR
Kartagener- dextrocardie, sinuzita, bronsiectazie
sdr von Hippel Landau- hemangioame
sdr Osler-Rendu-Weber- fistule art-ven
mutatie FC 2 si 5- fen trombembolice
mutatie homocisteina- fen trombembolice

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8
Q

ex boala cu tranmitere legata de sex si cu ce se asociaza

A

b Fabry- CMR

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9
Q

BCV cu trasmitere multifactoriala si FR

A

b cardiaca ischemica
1 hta
2 dislipidemie
3 antecedente fam IM<55/<65
4 DZ2
5 obezitate
6 fumat

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10
Q

BCV asociata cu TBC

A

pericardita constrictiva

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11
Q

BCV asociata cu hepatita B si C

A

fen Raynaud

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12
Q

boli care pot duce la dezvoltarea CPC

A

bronsita cr obstructiva
AB
pneumoconioze

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13
Q

ce boala este favorizata de supuratiile pulmonare (abces, bronsiectazie)

A

amiloidoza cardiaca, ce duce la CMR

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14
Q

ce boli endocrine afecteaza CV

A

hipo si hipertiroidismul- afectare cardiaca
sdr Cushing, hiperaldosteronismul, feocromocitomul- HTA II

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15
Q

ce boala este favorizata de tumori, traumatisme cerbrale, HT intracerebrala

A

HTA II

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16
Q

ce boala este favorizata de mielomul multiplu

A

amiloidoza cardiaca si CMR

17
Q

3 ex boli hematologice care se asoc cu afectarea celor 4 foite cardiace si HTA II

A

policitemia vera
purpura trombocitopenica imuna
leucemii

18
Q

ce afcetiuni renale accelereaza ATS?

A

IRC
sdr nefrotic
transplantul renal

19
Q

ce afectiuni renale duc la aparitia HTA II

A

PN cr
GN ac si cr
reninom
St art renala

20
Q

3 boli la care predispun consumul e alcool

A

ats
cardiomiopatie dilatativa
aritmii

21
Q

medicamente asociate cu aparitia HTA II

A

EPO
AINS si AIS
ciclosporina= imunosupresor
drg
anticonceptionale orale
intox cu Pb

22
Q

FR CV majori 6 ce duc la ATS si BCV

A

obezitatea
dislipidemia
DZ2
antecedente fam de IM sau moarte subita <55/65
HTA
fumat

23
Q

FR CV minori ce duc la ATS si BCV 8

A

fumatul
cons alcool
sedentarismul
>45 ani
B
stres
menopauza precoce
factorii psihosociali

24
Q

3 caracteristici angina pectorala de efort tipica

A

retrosternal
provocata de efort/ stres emotional
cedeaza in cateva min la repaus/ nitrati

25
Q

care este forma cronica si care acuta a bolii cardiace ischemice

A

cronic= angina pectroala de efort
acut= angina pectroala de repaus

26
Q

in ce arteriopatii apare claudicatia intermitenta

A

mb sup
subclaviculare- ats/ inflamatorii (arterita takayasu)
mandibula- obstr carotidiana/ ramuri (arterita Horton)
abd- arteriopatii mezenterice

27
Q

sdr Leriche

A

obstructie la bifurcarea aortei abdominale care da durere la ambele mb inf si impotenta sexuala

28
Q

unde iradiaza durerea din claudicatia intermitenta

A

nu iradiaza

29
Q

cdt disparitie claudicatie intermitenta

A

repaus/ reducerea intensitatii efortului

30
Q

t dispariie durere arteriala de repaus (care apare si in ACOMI stadiu avansat)

A

initial: picioarele atarnate la marginea patului
apoi: antialgice majore

31
Q

la care din durerile de origine vasculara se asociaza parestezii? 4

A

claudicatie intermitenta
tromboflebita prof
sdr postrtrombotic
boala varicoasa

semio cardiac (3 decks)

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