cardio/pulm/GI pictures Flashcards by Mai Wells

Q

A

rbbb
MARROW

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Q

A

WILLIAM
Left bundle branch block

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Q

A

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Q

how to treat

A

sick sinus syndrome

atropine 1st line. dopamine, epi.

pacemaker long term

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Q

A

1st degree AV block

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Q

A

2nd degree AV block, type 1

wenkebach

PR lengthens

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Q

A

2nd degree AV block, type 2

Pr interval consistent

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Q

tx?

A

3rd AV block

transcutaneous pacing

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Q

tx if stable and unstable

A

atrial flutter

bb or ccb(d/v)

direct CV

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Q

A

ashman phenomenon/ afib

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Q

A

afib

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Q

tx for 2 types

A

psvt
narrow qrs: vagal, adenosine

Wide amiodarone ?

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Q

tx

avoid what

A

wpw

procainimide. or amiodarone.

avoid AV nodal blocking agents

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Q

A

pvc

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Q

A

bigeminy

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Q

tx:

A

V tach
stable: PAL (procain, amiod, lido)
unstable with pulse: synch CV
no pulse: defib, CPR, unsyn CV

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Q

describe MOA of tx

A

torsades. iv mag to prevent and terminate arrthymia. it suppresses early afterdepolarizations

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Q

tx

A

v fib. UNsynchronized CV and CPR, initiate ACLS

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Q

A

brugada.

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Q

which echo to get

A

patent foramen ovale

TTE usually performed 1st

TEE is more sensitive

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Q

wide, FIXED S2.

systolic ejection C/D

heard best where

when to fix

A

pulmonic

ASD

does not vary with inspirations

> 5mm

Q

A

Q

opening snap

pt has rheumatoid heart disease

tx

A

MS; valvotomy in young pts

Q

wide split S2

radiates to axilla

A

MR

Q

wide bounding pulse pressure

water hammer
de mussets

A

AR

Q

Flattened diaphram

A

emphysema

pink puffer

Q

A

chr bronchitis

blue bloater

Q

signet ring
tram track

Get what studies

A

bronchiectasis

high resolution CT imaging of choice

pft gold standard

Q

PFT?
labs?

A

sarcoidosis
restrictive
inc ACE

Q

shaggy heart
pft?
honeycombing

A

pulm fibrosis
restrictive

Q

organism?
med for tx?

breathing sounds like what

A

croup
parainfluenza
seal like cough, inspiratory stridor

dexmethasone

Q

s/s
organism?
med for tx?

A

epiglottitis

strep pneumo or group A strep

maintain airway!!

ceftriaxone or cefotaxime.

rifampin for close contacts

Q

A

atypical pneumonia

Q

A

typical pneumonia

Q

diffuse bil interstitial infiltrates

tx if pt has G6PD def

A

pcp

atovaquine

Q

discuss upper lobe and lower lobe significance

A

TB
upper lobe: reactivation
lower lobe: primary TB

Q

what syndrome is assoc with this

A

pancoast

horner: miosis, ptosis, anhidrosis

Q

blunting of costophrenic angle

A

pleural effusion

Q

visceral pleural line

A

pneumothorax

Q

A

Pulm embolism

Q

A

Pulm embolism

Q

A

Pulm embolism

Q

PCWP?

A

cardiogenic pulm edema

pcwp>18 mmHg

Q

bronchograms

no kerley b lines

A

ards

Q

A

Q

RF

A

polyhydraminos

duodenal atresia

Q

A

Q

pleural plaques

shaggy heart

pft

A

asbestosis

restrictive

Q

eggshell calcifications

from what work

A

upper lung lobes
silicosis

quarry, granite, sandblasting

Q

small nodules in upper lung fields. hyperinflation of LL.

pft

A

coal workers lung

obstructive

Q

A

Q

A