Cardiovascular Flashcards
Order of examination of the cardio vascular
history, general condition, heart, blood vessels (arterial, venous, capillary systems), blood.
History
fatigue, exercise intolerance, dyspnea, tachypnea, ascites, syncope
left sided heart failure indication
Pulmonary oedema
right sided heart failure (cats also left) indication
Thoracic fluid accumulation –
ascites symptoms
right sided heart failure, hypoproteinaemia, peritonitis, neoplasma, liver cirrhosis, thrombosis, bleeding
physical exam
inspection (heart and vessels), palpation (heart and vessels), percussion (heart), auscultation (heart)
inspection
abnormalities of thorax, heart beat location and intentisy
palaption
pain location of heart beat dislocation of heart beat (caused by tumour, abscess, pneumothorax, diaphragmatic hernia, malformation), strength of heart beat, fremitus (thrill)
where to find the heartbeat
(left = 3-6 ICS) (right = 3-5 ICS),
percussion
detect fluid accumulation
space occupying lessions,
PTX,
area of cardiac dullness
reasons for dullness
cardiac enlargement pericardial effusion cardiac dislocation false enlargement fluid accumulation
FRIDA
frequency, rhythm, intensity, demarcation, adventitious sounds.
frequency
coincides with pulse rate
intensity
normally strong and even.
Pounding beat
= increasing of the first and second sound.
Reduced heart sound
= decreased cardiac output
demarcation
distinctiveness of the cardiac sounds
Adventitious sounds
murmurs –
types of murmurs
either endocardial or extracardial
endocardial murmur
turbulence - location, intensity, relation to cardiac cycle, pitch
extracardial murmurs
location and intensity can be heard in different phases, either pericardial or pleuropericardial
causes of endocardial murmurs
morphological, functional
morphological causes of endocardial murmurs
valve deformaties, septal or vessel malformations
functional causes of endocardial murmurs
– innocent murmurs, anemia: decreased blood viscosity
extracardial mur,urs cause
inflammation
classification of endocardial murmurs
localisation intensity relation to phase of cardiac cycle frequency character conduction
methods of examining arteries
digital palpation - pulse
blood pressure measurement
blood flow registration
pulse examination
size, rhythm, strength, duration, symmetry, compressibility
pulse pressure
difference btw systolic and diastolic blood pressure