Congenital Dz, HF And Vasculopathies Flashcards

1
Q

What will you see on EKG in ASD?

TX?

A

Possibly an incomplete right BBB

Surgery

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2
Q

VSD murmur?

Association?
TX?

A

Pansystolic murmur associated with a thrill heard best at 4th-5th ICS at LSB

Down’s and Post MI

Surgery

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3
Q

What will you see on EKG and echo for PDA?

A

LVH

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4
Q

Where is the narrowing of the aorta in CoArc?

Murmur?

A

Distal to the left subclavian

Late systolic murmur heard best between the scapula just left of the spine

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5
Q

Coarc CX signs?

TX?

A

Rib notching and 3 sign.

Surgery

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6
Q

TOF murmur?

A

Pulmonic flow murmur

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7
Q

CXR finding for TOF?

A

Boot shaped heart

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8
Q

Co = what?

A

SV plus HR

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9
Q

EJ fraction treatments?
When to start medical therapy?
Outpatient IV therapy?
LVAD or transplant?

A

Less than 40
Less than 30
Less than 20

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10
Q

When would you here an S4?

What is an s4 due to?

A

Possible is diastolic heart failure

Secondary to left atrial enlargement; extra kick to increase cardiac output

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11
Q

Congestive HF classifications
1-4 NY

ACC/AHA?
A-b

A

1- asymptomatic

  1. Symptomatic with exertion
  2. Symptomatic with daily activities
  3. Symptomatic at rest

A. at risk
B. HF with no symptoms
C. Symptoms
D. Marked symptoms deposit max tx

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12
Q

Medical TX for CHF?

A

Diuretics
ACE
BB

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13
Q

What is Dressler’s syndrome?

A

Postcard into your pericarditis (2-5 days after infarction)

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14
Q

What will you find on PE with pericarditis?

A

Pericardial rub and pulsus paradoxus

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15
Q

What does pericardial fusion show on X-ray?

A

Water bottle heart

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16
Q

Becks triad for pericardial tamponade?

A

Hypotension
JVD
Muffled heart sounds

17
Q

Virshows triad?

A

Venous stasis
Hypercoaguable state
Endothelial injury

18
Q

Treatment for acute arterial occlusion?

A

Heparin and revascularize in 3 hours