Cases Flashcards
Weakness, fatigue, palpitation, secondary to decrease cardiac output, systolic apical murmur transmitted axilla and forceful apical impulse
Mitral insufficiency
Prominence of first heart sound with fixed splitting of the second heart sound, soft systolic murmur over 2nd/3rd left ICS, fatigue, palpitations, exertional dyspnea
Atrial septal defect
Atrial filorillation, cough, hemoptysis, or thoprea, dyspnea on exertion LV is small
Mitral valve stenosis
Dyspnea, biventricular failure symptoms, systolic ejection murmur, s3 gallop of HF, widened pulse pressure
Aortic insufficiency
Mitral insufficiency associated with silent muscle necrosis, systolic ejection murmur, pulses parvus at tandus
Aortic stenosis
Elevation RAF, leg edema, hepatomegaly acutes
Tricuspid stenosis and mp
Irritability, inconsolable crying during feeding, blood forced back from left atrium to right atrium
Aortic stenosis
Pigeon breast deformity, thrill over 3rd to 5th ICS, pansystolic murmur
Ventricular septal defect
Premature infants female, widened pulse pressure, hyperactive precordium, machinery murmur
Patent ductus arteriosus
Male, hypertensive, unequal pulses/BP, chest x-ray rib notching
Aortic coarctation
Severe tachypnea, tachycardia cyanosis, low left sided cardiac output, pulmonary overcirculation
Total anomalous pulmonary venous return
Presence of a nonrestrictive left-to-right shunt, CHF, pan-systolic murmur at the left sternal border
Truncus arteriosus
Univentricular heart of left ventricular morphology, marked dyspnea and cyanosis shortly after birth
Tricuspid atresia
Newborn in respiratory distress, mild cyanosis
Hypoplastic left heart syndrome
Male, hypoxia, progressive pulmonary congestion, cyanosis, congestive heart failure
Transposition of the great vessel
