differentials Flashcards
waht are the cardiovascular differentials
- endocarditis
pericarditis
murmers
ventricular hypertrophy
what is ineffective endocarditis ?
conditions where the inner lining of the heard becomes inflamed secondary to infection
signs and symptoms of ineffective endocarditis
fever
fatigue and breathless
tachycardia
heart murmer
splinter haemorrhage
Differentals to ineffective endocarditis
Lyme disease
meningitis
tuberculosis
What is pericarditis ?
inflammation of the pericardium
symptoms of pericarditis
chest pain that radiated to neck, shoulders and arms and can be exacerbated when inspiriting or lying down.
dyspnea
history of ineffective symptoms
pericardial rub
soft/distant heart sounds
becks triad
differentials to pericarditis
ACS
pnumonia with pleurisy
PE
PNUMOTHORAX
GASTRO-OESIOHAGEAL REFLUX
WHAT ARE MURMERS
Heart sound produced due to turbulent blood flow in the heart
what are normal heart sounds
lub dub
what are 2 abnormal heart sounds and caused by what
“lub de dub” which is subtle and caused by rapid ventricular filling
“le lub bub” caused by stiff hypertrophic ventricles
what is Mitral regurgitation
what does it sound like
caused by back flow of blood
sounds like BURRRRRR
WHAT IS AORTIC STENOSIS
WHAT DOES IT SOUND LIKE
Tightening or the aortic valve
lub BURRRrrrrr
Symptoms of aortic stenosis
syncope (exertion)
angina chest pain (exertion)
dyspnea
Red flags for murmer = hospital
collapse
chest pain
prolonged tachycardia
abnormal pulse
arrhythmia
what is venticular hypertrophy ?
thickening of the ventricular wall
symptoms of ventricular hypertrophy
chest pain
exertion SOB
general fatigue
syncope
palpitations