Day 5 - CV4 Quiz Flashcards
Next step: CHD w/ early cyanosis
Prostaglandin E (to keep PDA open)
Med to close PDA
Indomethacin
6 wk old infant p/w irritability, signs of left-sided heart failure, EKG read as left-sided MI
Anomalous origin of left coronary artery
Class meds for hereditary prolongation of QT to prevent Vfib
Beta blockers, such as propranolol
Vasculitis: Weak pulses in upper extremities
Takayasu’s arteritis
Vasculitis: Necrotizing granulomas of lung & Necrotizing glomerulonephritis
Wegener’s granulomatosis
Vasculitis: Necrotizing infllammation & immune complex deposit of visceral & renal vessels
Polyarteritis nodosa
Vasculitis: Young male smokers
Berger’s disease
Vasculitis: Young Asian women
Takayasu’s arteritis
Vasculitis: Young asthmatics
Churg-Strauss syndrome
Vasculitis: Infants & young children w/ issues involving coronary arteries
Kawasaki disease
Vasculitis: Most common
Temporal arteritis
Vasculitis: Assoc. w/ Hep B
Polyarteritis nodosa
Vasculitis: Occlusion of opthlamic artery, can lead to blindness
Temporal arteritis
Vasculitis: Perforation of nasal septum
Wegener’s granulomatosis
Vasculitis: Unilateral HA, jaw claudication
Temporal arteritis
Defects of Tetralogy of Fallot
VSD, pulmonary outflow obstruction, RVH, overriding aorta
Next step in pt w/ DVT who has high likelihood of falling
Assess for IVC filter
Medical mgt PAD
Smoking cessation, Glucose/Bp control, Daily exercise, Cilostazol (preferred over Pentoxyfiline, both contraindicated if HF); To prevent cardiac events, ASA/Plavix, Statins, increase walking distance
Indications for operating on AAA
(1) Diameter > 5.5 cm (2) Growing > 0.5 cm in 6 mo. interval (3) Sx
Who to screen for AAA
(1) Sx (2) Males age 65-75 w/ any smoking hx
HSP p/w
Recent URI, arthritis, LE purpura, ab pain (possibly GI bleeding), renal disease (proteinuria, hematuria)
Kawasaki disease p/w
Fever 5+ days and 4+ CRUSH sx: Conjunctivitis, Rash, Adenopathy of cervical LN, Straweberry tongue, Hands/feet w/ induration, desquamation, erythema
