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CV II Exam 3 > Chest Pain and Fever I > Flashcards

Chest Pain and Fever I Flashcards

1
Q

concave upward on EKG

A

pericarditis

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2
Q

convex upward on EKG

A

MI

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3
Q

pain worse when lying down, better when sitting

A

pericardial pain

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4
Q

most common cause of pericarditis

A

viral - coxsackie

also, TB, bacterial, uremia, neoplastic, dresselers, radiation, drugs, myxedema

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5
Q

borrelia burdorferia

A

spirochete

lyme disease

can lead to pericarditis

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6
Q

exertional dyspnea and orthopnea three weeks after pericarditis

A

myocaridits

-see heart block on EKG

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7
Q

narrow QRS

A

no pacemaker

wide QRS - yes pacemaker

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8
Q

pericarditis with myocarditis?

A

troponin, heart block, wall motion abnormalities, CHF (BNP)

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9
Q

erythemia chronica migrans

A

lyme disease

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10
Q

bilateral bells palsy, oligoarthritis, heart block, myopericarditis

A

lyme disease

-borrelia burgdorferia

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11
Q

becks triad

A

muffled heart sounds
JVP
hypotension

electrical alteraans

cardiac tamponade

prerenal azotemia

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12
Q

pulsus paradoxus

A

cardiac tamponade

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13
Q

a wave

A

atrial contraction

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14
Q

x wave

A

atrial relax

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15
Q

v wave

A

atrial filling

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16
Q

y wave

A

atrial emptying

17
Q

decreased y descent

A

decreased atrial emptying

tricuspid stenosis

and also cardiac tamponade

18
Q

RV collapse

A

can be seen on cardiac ECHO in cardiac tamponade

19
Q

cardiac tamponade Tx

A

pericardiocentesis

20
Q

JVP, edema, hepatomegaly, ascites

A

constrictive pericarditis

21
Q

kussmauls sign

A

deep breath causes increased JVD

seen in constrictive pericarditis

22
Q

M or W on JVP tracing

A

constrictive pericarditis

23
Q

square root sign

A

constrictive pericarditis

24
Q

diastolic pericardial knock

A

constrictive pericarditis

25
Q

causes of constrictive pericarditis

A 
TB
radiation
cardiac surgery
viruses
trauma
26
Q

restrictive cardiomyopathies and LV diastolic dysfunction

A

simulate constrictive pericarditis

27
Q

constrictive pericarditis vs. restrictive cardiomyopathy

A

constrictive - no change in BNP

restrictive - elevated BNP

need to do cath

  • LV end diastolic pressure
  • equal - constrictive
  • unequal - restrictive

pulmonary pressure high - restrictive

CV II Exam 3 (21 decks)

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