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Cardio > Carditis > Flashcards

Carditis Flashcards

1
Q

What is Pericarditis?

A

inflammation of the pericardium

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2
Q

MCC of Pericarditis?

A

Coxsackie Virus

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3
Q

Substernal CP that rad to scapula
worse when supine or inhaling
better when sitting up

A

Pericarditis

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4
Q

WU for pericarditis

A

Initial -> EKG
Best test -> Echo

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5
Q

Trmnt for pericarditis?

A

NSAIDs - Aspirin MC

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6
Q

Pericarditis weeks after an MI is called _____

A

Dressler’s Syndrome

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7
Q

Cardiac tamponade and pericarditis can lead to what viscous cycle?

A

Cardiac tamponade -> Uremia (high nitrogenous wastes due to kidneys not working) -> pericarditis -> cardiac tamponade

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8
Q

will BUN be high or low in pericarditis?

A

High - Uremia (high nitrogenous wastes in blood bc kidneys arent working as well)

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9
Q

Beck’s Triad ss

A

Muffled heart sounds, JVD, HypoTN

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10
Q

Signs of Cardiac Tamponade

A

Becks Triad - Muffles heart sounds, JVD, HypoTN
CXR: Water bottle sign
EKG: electrical alterans (QRS alternates b/w tall and short due to heart bobbing so much in fluid of pericardial sack)

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11
Q

What is pulsus paradoxus and Kussmaul Sign?

A

Pulsus paradoxus - BP drops when inhaling
Kussmaul sign - JVP incr or fails to fall during inspiration
Both seen with pericarditis bc the heart is constricted by the rigid and vol overloaded pericardium. acts like a cage around the heart

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12
Q

Which carditis presents with flu like symptoms?

A

Myocarditis

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13
Q

WU for myocarditis?

A

Angiography + Bx

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14
Q

MCC of myocarditis?

A

HF after a virus

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15
Q

Trmtn for autoimmune or pediatric pt with myocarditis?

A

Trial steroids
Heart transplant

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16
Q

Risks for Endocarditis

A

> 60 yo, Valvular Dz

17
Q

Endocarditis WU

A

Blood cultures
Echo
Duke criteria

18
Q

Duke Criteria for endocarditis

A

2 major, 1 major + 3 minor, or 5 minor
Major = 2 separate + blood cultures, Echo, New regurg murmur
Minor = Fever, roth spots, splinter hemorrhages, janeway lesions, osler nodes, IVDA, congital heart dz, emboli, + echo not meeting major criteria, 1 + blood culture

19
Q

MC affected regurgitant valve with Endocarditis

A

Mitral
Unless IVDA -> Tricuspid

Cardio (9 decks)

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