Cardiovascular Flashcards
Ejection systolic murmur + BP difference in arms + radio-femoral delay
Aortic coarctation
Rib notching on CXR
Aortic coarctation
Slow rising pulse + heaving apex beat
Aortic stenosis
Atrial plop in early diastole
Atrial myxoma
Increased JVP + hypotension + muffled heart sounds
Cardiac tamponade
Kussmaul’s sign (paradoxical rise in JVP with inspiration)
Constrictive pericarditis (and cardiac tamponade)
Prominent x descent + absent y descent
Cardiac tamponade
Prominent x and y descents
Constrictive pericarditis
Reverse tick, sloping ST depression + T wave inversion
Digoxin effect
Machinery murmur
Patent ductus arteriosus
Chest pain + fever + pericardial effusion + high ESR weeks/months after AMI
Pericarditis
Brisk/jerky pulse
HOCM
Aschoff nodules
Rheumatic fever
Cannon ‘a’ waves
3rd degree heart block
Large ‘v’ waves
Tricuspid regurgitation
Young female with palpitations
SVT
Palpitations + dizziness in young female with eating disorder or alcoholic
Torsades de pointes
Ejection systolic murmur + fixed S2 splitting
Atrial septal defect
Pansystolic murmur over lower left sternal edge
Ventricular septal defect
Chest pain + dyspnoea + anuria + limb pain/pallor + paraplegia
Aortic dissection
Distortion of aortic knuckle + mediastinal widening on CXR
Aortic dissection
Stroke after infective endocarditis
Mycotic aneurysm
Double heart border on CXR
Mitral stenosis
Double apical impulse
HOCM
Polyarthritis + carditis + rash + chorea after throat infection
Rheumatic fever
Leg aching after prolonged standing
Varicose veins/chronic venous insufficiency
Haemosiderin deposition
Varicose veins/chronic venous insufficiency
Corona phlebectatica
Varicose veins/chronic venous insufficiency
Lipodermatosclerosis
Chronic venous insufficiency
Atrophie blanche
Chronic venous insufficiency
S4 heart sound + soft S2
Aortic stenosis
S3 heart sound + soft S1 + displaced apex beat
Mitral regurgitation
Increased pulse pressure + displaced apex beat
Aortic regurgitation
Opening snap + mid-diastolic rumble
Mitral stenosis
Tapping apex beat
Mitral stenosis
Right heart failure + displaced apex beat in alcoholic
Alcoholic cardiomyopathy
Collapsing pulse
Aortic regurgitation
Loud S1
Mitral stenosis
Opening snap
Mitral stenosis
Bifid P wave + RVH + RAD
Mitral stenosis
Narrow pulse pressure
Aortic stenosis
ST depression + dominant R waves in V1-3
Posterior STEMI
Pansystolic murmur over left sternal edge
Tricuspid regurgitation
Haemosiderin-laden cells in alveoli in CHF
Macrophages
Systolic murmur 2-8 days after AMI
Ventricular septal defect
Plateau pulse
Aortic stenosis
Fixed raised JVP
SVC obstruction
Erythema marginatum (erythematous rings on trunk)
Rheumatic fever
Dilated ventricles with global hypokinesis on echo
Dilated cardiomyopathy
Arrhythmia after repeated vomiting
Torsades de pointes (due to hypokalaemia)
Rash on face + murmur
Mitral stenosis (malar flush)
SVT refractory to vagal manoeuvres and adenosine
Atrial tachycardia
Jaundice after infective endocarditis
Traumatic haemolysis
Collapse in patient on antihypertensives
Postural hypotension