Clinical Flashcards
How would you drain fluid from the pericardium?
Pericardiocentesis
- Insert a needle before the infrasternal/subcostal angle (bottom ridge of sternum - below xiphoid process) superoinferiorly and aspirating continuously
What is the name of the condition in which a patient has blood in the pericardium?
Haemopericardium
What is “cardiac tamponade”?
When the pressure around the heart prevents contraction
What pulse is palpable on the dorsum of the foot?
Dorsalis pedis artery
Where do you feel the posterior tibial artery?
Inside of ankle posterior to bony bit - defos nicer wording
How can you calculate a patients risk of a cardiac event?
ASSIGN score
Differnce in appearance between arterial and venous ulcers?
Venous - red and oozing
Arterial - pale, punched out and painful
How can breathing affect loudness of murmurs?
Right sided murmurs - louder on inspiration
Left sided murmurs - louder on expiraiton
What does rhuematoid artheritis cause?
Increased risk of coronary heart disease due to increased atherosclerosis
What is a crescendo-decrescendo murmur another word for?
Ejection murmur - AS
Mitral regurgitation presents with AF. True or false?
Describe the murmur produced?
Pansystolic murmur at the apex radiating to the axilla
What effect do the following manoeuvres have on HR?
Sticking your fingers down your throat
Pressing hard on your eyeballs
Dipping face into ice cold water
Reduce HR
Where do you auscultate the apex beat?
Left 5th intercostal space
What 3 vessels can be used in CABG?
Great saphenous vein
Radial artery
Internal thoraric artery
