Cards clinical findings Flashcards
1
Q
Jerky pulse
A
HOCM
2
Q
Bisferiens pulse
A
Mixed AV disease
double systolic pulse
3
Q
Pulsus alternans
A
regular alteration of the force of the arterial pulse
Severe LVH
4
Q
Collapsing
A
AR
PDA
Hyperkinetic ie anaemia, thyrotoxicosis, fever, preg
5
Q
slow rising
A
AS
6
Q
Pulsus paradoxus
A
Severe asthma
Tamponade
7
Q
PDA
A
left subclavicular thrill continuous 'machinery' murmur large volume, bounding, collapsing pulse wide pulse pressure heaving apex beat
8
Q
AR features
A
early diastolic murmur
collapsing pulse
wide pulse pressure
mid-diastolic Austin-Flint murmur in severe AR - due to partial closure of the anterior mitral valve cusps caused by the regurgitation streams
9
Q
Causes of AR
A
Causes (due to valve disease) rheumatic fever infective endocarditis connective tissue diseases e.g. RA/SLE bicuspid aortic valve
Causes (due to aortic root disease) aortic dissection spondylarthropathies (e.g. ankylosing spondylitis) hypertension syphilis Marfan's, Ehler-Danlos syndrome
10
Q
Tetrallogy clin findings
A
Cyanosis Right to left shunt ES murmur due to pulmonary stenosis (not the VSD) R sided aortic arch in 25% CXR shows boot shaped heart
11
Q
TR findings
A
pan-systolic murmur
giant V waves in JVP
pulsatile hepatomegaly
left parasternal heave
12
Q
Causes of TR
A
RV dilatation Pulmonary hypertension RHD Infective endocarditis Ebstein's anomaly Carcinoid syndrome
