Chest Pain and Fever I

Question 1

concave upward on EKG

Answer 1

pericarditis

Question 2

convex upward on EKG

Answer 2

MI

Question 3

pain worse when lying down, better when sitting

Answer 3

pericardial pain

Question 4

most common cause of pericarditis

Answer 4

viral - coxsackie

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

Question 5

borrelia burdorferia

Answer 5

spirochete

lyme disease

can lead to pericarditis

Question 6

exertional dyspnea and orthopnea three weeks after pericarditis

Answer 6

myocaridits

-see heart block on EKG

Question 7

narrow QRS

Answer 7

no pacemaker

wide QRS - yes pacemaker

Question 8

pericarditis with myocarditis?

Answer 8

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

Question 9

erythemia chronica migrans

Answer 9

lyme disease

Question 10

bilateral bells palsy, oligoarthritis, heart block, myopericarditis

Answer 10

lyme disease

-borrelia burgdorferia

Question 11

becks triad

Answer 11

muffled heart sounds
JVP
hypotension

electrical alteraans

cardiac tamponade

prerenal azotemia

Question 12

pulsus paradoxus

Answer 12

cardiac tamponade

Question 13

a wave

Answer 13

atrial contraction

Question 14

x wave

Answer 14

atrial relax

Question 15

v wave

Answer 15

atrial filling

Question 16

y wave

Answer 16

atrial emptying

Question 17

decreased y descent

Answer 17

decreased atrial emptying

tricuspid stenosis

and also cardiac tamponade

Question 18

RV collapse

Answer 18

can be seen on cardiac ECHO in cardiac tamponade

Question 19

cardiac tamponade Tx

Answer 19

pericardiocentesis

Question 20

JVP, edema, hepatomegaly, ascites

Answer 20

constrictive pericarditis

Question 21

kussmauls sign

Answer 21

deep breath causes increased JVD

seen in constrictive pericarditis

Question 22

M or W on JVP tracing

Answer 22

constrictive pericarditis

Question 23

square root sign

Answer 23

constrictive pericarditis

Question 24

diastolic pericardial knock

Answer 24

constrictive pericarditis

Question 25

causes of constrictive pericarditis

Answer 25

``` TB radiation cardiac surgery viruses trauma ```

Question 26

restrictive cardiomyopathies and LV diastolic dysfunction

Answer 26

simulate constrictive pericarditis

Question 27

constrictive pericarditis vs. restrictive cardiomyopathy

Answer 27

constrictive - no change in BNP restrictive - elevated BNP need to do cath - LV end diastolic pressure - equal - constrictive - unequal - restrictive pulmonary pressure high - restrictive