Cardiac Disorders Flashcards
Mitral Stenosis Murmur
rumbling apical diastolic murmur
Mitral Regurgitation Murmur
high pitched systolic murmur at apex, S3
Mitral Valve Prolapse Murmur
mid systolic click/late systolic murmur
Aortic Stenosis Murmur
harsh crescendo-decrescendo systolic murmur
Aortic Regurgitation Murmur
high pitched blowing decrescendo diastolic murmur
IE
“bacterial enocarditis” vegitative lesion grows –> endocardium and valvular damage –> flow obstructed –> valve stenotic and likely to emboize
IE CM
recurrent fevers, S3/S4, new murmurs, arterial embolization, petechiae, splinter hemorrhage, Osler nodes, janewall’s lesions, splenamegaly, Roth’s spot
IE and anticoagulants
avoided unless needed for thrombus prevention for prosthetic valve replacement - do not prevent embolization from vegetation and may cause bleeding
IE teaching
oral hygiene - soft toothbrush 2xday and rinse after brushing, DON’T use irrigation devices or floss b/c bacteremia may result
IE recurring symps
fever, chills, malaise, weight loss, fatigue, sudden gain, dyspnea —- report to PCP
Acute Pericarditis
inflammation or alteration to pericardium
Cardiac Tamponade patho
accumulation of fluid in pericardium –> decr CO
Cardiac Tamponade CM
JVD, paradoxical pulse, muffled heart sounds, hypotension, fatigue, dyspnea, decr HR
Rheumatic Carditis
sensitivity response d/t URI w/ group A beta-hemolytic streptococci - inflammation in all layers of heart - impaired contraction/thickening of pericardium/valve damage
Aschoff bodies
small nodules in myocardium that are replaced by scar tissue (RCarditis)
