Cardiology Flashcards
Patient has a fever and pleuritic chest pain that is relieved by sitting up and leaning forward?
Pericarditis
Irregularly irregular pulse
Atrial Fibrillation
ECG has a saw tooth baseline + 150 bpM
Atrial flutter
Alveolar bat wing’s, Kerley B lines, cardiomegaly, dilated prominent upper lobe vessels,
Pulmonary Oedema
Raised JVP/ hepatojugular reflex
Right sided heart failure
Sense of impending doom
MI
Saddle shaped ST elevation
Pericarditis
Broad complex tachycardia
Ventricular problem
Mid-diastolic murmur, with a tapping, undisplaced apex
Mitral stenosis
Broad QRS with broad upstroke on R wave (delta wave)
Wolff-Parkinson-White Syndrome
Tall tented T wave with wide QRS complex
Hyperkalaemia
Patient gets pericarditis 4-6 weeks after MI
Dressler’s syndrome
Blurred yellowing vision headache
Digoxin toxicity
Janeway lesions/ Osler’s nodes
Subacute bacterial endocarditis
Continous machine like heart murmur
Patent Ductus Arteriosis
Rib notching on CXR
Coarctation of the aorta
Crescendo Decrescendo murmur
Aortic Stenosis
Diminished/ absent lower limb pulses
Coarctation of the aorta
Are mitral regurgitation and aortic stenosis systolic or diastolic?
Systolic (MRS ASS)
Reversible causes of cardiac arrest?
Hypovolaemia Hypothermia Hyperkalaemia/hypokalaemia Hypoxia Tamponade Tension pneumothorax Thromboembolism Toxin (4 H's and 4 T's)
Features of acute limb ischaemia?
Pale,Pulseless, Painful, Paralysed, Paraesthetic, Perishingly cold (6 P’s)
Radio-femoral delay?
Coarctation of the aorta
Radio-radial delay?
Coarctation or aortic dissection
Systolic murmur that radiates to the neck?
Aortic stenosis
Sudden tearing/ ripping chest pain that radiates to the back
Aortic Dissection
Causes of irregularly irregular pulse?
A Alcohol Abuse T Thyroid Disease R Rheumatic Heart Disease I Ischemic Heart Disease A Atrial Myxoma L Lung (Pulmonary Embolism, Emphysema)
F Pheochromocytoma I Idiopathic B Blood Pressure (Hypertension)
4 anatomical abnormalities of the heart in tetralogy of fallot?
Pulmonary stenosis
ventricular septal defect
overriding aorta
right ventricular hypertrophy
ACEI side effects?
Cough Angioneurotic oedema Proteinuria Taste disturbance Other (e.g. fatigue, headache) Potassium raised Renal impairment Itch Lower blood pressure (CATOPRIL)
Contraindications to ACEI?
Pregnancy Allergy/Angioedema Renal artery stenosis/Renal failure K - Hyperkalemia (potassium > 5.5) (PARK)
Are right sided murmurs louder on inspiration or expiration?
Right sided murmurs are louder on
Inspiration
Left sided murmurs are louder on
Expiration
(RILE)
