CV Flashcards
Central cyanosis
Hypoxia lung disease
RL shunt- CHD/ eisenmenger
Methaemoglobinaemia- drugs/ toxins
Irregularly irregular pulse
AVCV A fib Ventricular ectopic beats Complete heart block Variable ventricular escape
Causes of a fib
IHD Rheumatic heart disease Thyrotoxicosis Pneumonia PE Alcohol
Absent radial pulse
Congenital- bilateral Arterial emboli (a fib) Subclavian atheroma Previous arterial line Previous coronary angiography Cervical rib Coarctation of aorta
A fib vs VEBS
Exercise abolishes VEB, a fib stays
Collapsing pulse
Aortic regurgitation
Radio-radial, radio-femoral delay
Cervical rib- r r
AD
Coarcation
Embolism
CACE
Pulsus paradoxus
Cardiac tamponade
Constrictive pericarditis
RCM
Severe COPD
Malar flush
Mitral stenosis
Corrigans sign
Exaggerated pulsation of carotid
Bisiferiens pulse
Mixed AS/AR
Elevated JVP
RHF
Volume overload
PE
Constrictive pericarditis
Elevated JVP decreased bp
Tension pneumothorax
Cardiac tamponade
Massive PE
Elevated JVP and fixed
SVC obstruction
Canon A waves
Complete heart block
VEBS
VT
GIANT V waves
TR
- ear wiggling
- pulsatile HM
Features of JVP
MOPHAIR Multi wave form, double flicker Occludable Postural changes HJR Above filling Impalpable Respiratory changes
Kussmaul sign
Increase JVP on inspiration due to impaired RV filling
Tamponade
Constrictive pericarditis
RCM
Midline sternotomy
CABG
Valve replacement
L submammary
Mitral valvotomy
Pericardial window
Grafts for CABG
Saphenous vein
LIMA
Radial artery
Apical visible haeve
LVH
Parasternal visible haeve
RVH
Unable to locate apex beat
Obese
Air- pneumothorax, emphysema
Fluid- pleural, pericardial effusion
Different position
- displacement- laterally- LHF
- dextrocardia
Character of apex beat
Tapping
Heaving
Thrusting
Tapping apex beat
MS
Heaving apex beat
LVH
- AS
- HTN
- HOCM
- coarctation of aorta
Thrusting apex beat
MR
AR
LvF
3rd heart sound
Rapid ventricular filling
Normal in those
Causes of 3rd heart sound
Volume overload CCF MR AR Large anterior MI
4th heart sound
Poorly compliant ventricle
NEVER A FIB
Causes of 4th heart sound
AS
HTN
HOCM
Post MI
Clues on abdo exam for CV
HM- RHF
Ascites- RHF
SM- IE
AAA
Investigations CV
ECG
CXR
ECHO
urinalysis
Urinalysis CV
IE microscopic haematuria
CXR LHF
Alveolar oedema B-- lines Kerley lines Cardiomegaly Diversion, venous upper lobes Efussion, pleural
Causes of pericarditis
7 Coxsackie Viral/ fungal Immediately post MI Dressler syndrome 2-10 weeks post MI SLE/ RA/ scleroderma Uraemia Malignancy
Pump failure causes
Ischaemic heart disease Cardiomyopathy Constrictive pericarditis Arrhythmia Iatrogenic- negative inotropes
XA preload
Regurgitatant valvular murmur
Fluid overload- renal failure, IV fluids
XS after load
AS
HTN
Isolated RHF
Cor pulmonale
Primary pul HTN
High output failure
Anaemia
Pregnancy
Metabolic– hyperthyroid, pagets
Peripheral cyanosis
PVD Raynauds CCF Central cyanosis Shock
Carotid pulse
Volume=
Character =
Volume: normal, thready, bounding
Character: normal
Cardio causes finger clubbing
IE
atrial myxoma
Cyanotic CHD
Nail fold infarcts
Vasculitis
SLE