cardio - 10% Flashcards

1
Q

describe the murmur with ASD

A

systolic, crescendo-decrescendo, pulmonic area

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2
Q

describe the murmur with coarctation

A

systolic, radiating to back/chest

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3
Q

describe the murmur with PDA

A

continuous, machinery, pulmonic area

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4
Q

describe the murmur with TOF

A

holosystolic, harsh, LUSB

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5
Q

describe the murmur with VSD

A

holosystolic, loud/high-pitched/harsh, LLSB

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6
Q

describe the murmur with hypertrophic CMP

A

systolic, harsh crescendo-decrescendo, LLSB

increases w valsalva/standing (dec venous return)

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7
Q

what is the diagnostic method of choice + treatment of choice for ASD

A

echo, surgery if sx (2-4yo)

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8
Q

what is the diagnostic method of choice + treatment of choice for coarctation

A

angiogram, surgery (PG pre-op)

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9
Q

what is the diagnostic method of choice + treatment of choice for PDA

A

echo, IV indomethacin ā€“> surgery (1-3yo)

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10
Q

what is the diagnostic method of choice + treatment of choice for TOF

A

echo, surgery (PG pre-op) w/i 4-12mo

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11
Q

what is the diagnostic method of choice + treatment of choice for transposition of the great vessels

A

echo, surgery (PG pre-op)

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12
Q

what is the diagnostic method of choice + treatment of choice for VSD

A

echo, surgery if large/sx (by 2yo)

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13
Q

what is the diagnostic method of choice + treatment of choice for hypertrophic CMP

A

echo, ICD placement + BB (CCB 2nd line)

alcohol septal ablation/myomectomy if refractory

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14
Q

what is the diagnostic method of choice + treatment of choice for acute rheumatic fever

A

jones criteria (2 major or 1 major + 2 minor), pen G (e-micin if allergic) + aspirin (steroids if severe)

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15
Q

what is the diagnostic method of choice + treatment of choice for kawasaki disease

A

Warm CREAM; IVIG + high-dose aspirin

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16
Q

eisenmengers

A

in TOF, PDA, VSD
pulmonary pressure > systemic pressure D/T Lā€“>R shunting
asx at rest but cyanosis/DOE/CP/syncope during exercise
clubbing/cyanosis of toes