Cardio PE & Dx HY Flashcards
Abdomino-jugular Reflux
At least 10 second pressure over the RUQ
(+) repsonse: sustained rise of >3 cm in JVP for at least 10-15 sec after release of hand
Abdomino-jugular Reflux
Carvallo’s Sign
Pansystolic murmur of tricuspid regurgitation
Louder during INSPIRATION and diminishes during forced expiration
Carvallo’s Sign
Graham Steell Murmur
High-pitched, diastolic, decrescendo blowing murmur along the L sternal border d/t dilation of the pulmonary valve ring; occurs in MV disease and severe pulmonary HTN
Graham Steell Murmur
Gallavardin Effect
Condition where the murmur of Aortic Stenosis may be transmitted downward and to the apex
May be confused with the systolic murmur of mitral regurgitation
Gallavardin Effect
Broadbent’s sign
Apical pulse is reduced and may retract in systole in constrictive pericarditis.
Broadbent’s sign
Corrigan’s Pulse
Rapidly rising “water-hammer” pulse that collapses suddenly as arterial pressure falls rapidly during late systole and diastole.
Seen in AR
Corrigan’s Pulse
Peripheral sign in Aortic Regurgitation
Quincke’s Pulse
Capillary pulsations manifest as alternate flushing and paling of the skin while pressure is applied to the tip of the nail
Seen in AR
Quincke’s Pulse
Peripheral sign in Aortic Regurgitation
Traube’s Sign
Booming “Pistol-shot” sound heard over the femoral arteries.
Seen in AR
Traube’s Sign
Peripheral sign in Aortic Regurgitation
Duroziez Sign
To-and-fro murmur audible if the femoral artery is lightly compressed with a stethoscope
Seen in AR
Duroziez Sign
Peripheral sign in Aortic Regurgitation
Major non-invasive marker of INC CV morbidity/mortality risk
LVH
Major non-invasive marker of INC CV morbidity/mortality risk
Cornerstone in the diagnosis of acute and chronic ischemic heart disease
ECG
Cornerstone in the diagnosis of acute and chronic ischemic heart disease
Ideal imaging modality for cardiac emergencies
2D Echocardiography
Ideal imaging modality for cardiac emergencies
Gold Std for
- Imaging valve morphology and motion
- detection of pericardial effusion and cardiac tamponade
- assessment of LV cavity size, systolic function and wall thickness
2D Echocardiography
Gold Std for
- Imaging valve morphology and motion
- detection of pericardial effusion and cardiac tamponade
- assessment of LV cavity size, systolic function and wall thickness
Gold Std for assessing LV mass and volumes
MRI
Imaging modalities of choice for the evaluation of
- suspected aortic aneurysm or aortic dissection
- distinguishing between restrictive cardiomyopathy and constrictive pericarditis
CT Scan & MRI
Imaging modalities of choice for the evaluation of
- suspected aortic aneurysm or aortic dissection
- distinguishing between restrictive cardiomyopathy and constrictive pericarditis
