Gen Diagnosis: Cardiovascular

Question 1

Tachy-_____?

Answer 1

FAST!

Question 2

Pulmo BALL/clot/embo in the way
What is this?

Answer 2

• Pulmonary embolism
• A clot broke off and blocked it all off in the pulmo

Call 911 big homie!

Question 3

Pulmo embo, tell me what you know

Answer 3

• Suddenly you hardly breathin’ (dyspnea)
• you coughing up blood, and (hemoptysis)
• you have plu-plu (pleuritic) chest pain

Testing: d-dimer (+) and the lung perfusion scan or CT scan will confirm it for ya ;)

Question 4

Pt presents with Malar (red cheeks) flush, diaStolic murmur (irregular rushing sound when auscultating heart), Snap heard where?
What is this?

Answer 4

mitral StenoSiS (opening Snap) no pain tho

• snap best heard at 5th I.C. space on left
• diastolic snap
• mid-clavicular line

Question 5

Two mitral issues are associated with rheumatic fever, one is not (MP for a hint) so the the two must be?

Answer 5

Mitral incompetence
AND
Mitral StenoSiS Snap

Question 6

Tell me what you know about those mitrals
Patient presents with no chest pain necessarily but when you hear their heart sounds, it’s a PANsystolic murmur going on?
Where is the location of the heart sound?
Which mitral is this (NO PAIN, PAN)

Answer 6

Mitral is just INCOMPETENT if it don’t have no paaain MAN! (Mitral Incompetence)

best heard in the left 5th I.C. space mid-clavicular line

Question 7

Mitral prolapse is like what?

Answer 7

PROLAPSE, oh no!! This one is more serious and has chest PAIN! uh oh

• Unknown origin
• Marfan’s syndrome sometimes
• mid-systolic murmur

Question 8

Sub acute endo strepto
What does that mean to you?

Answer 8

Welllll…

There is subacute bacterial endocarditis caused by the bacteria Streptococcus viridans, just to name a few

Question 9

Okay then what does a SUB acute endo strepto present with big dawg?

Answer 9

SUB
CLUB (clubbed fingers)
SUB splinters at the SUB level of the nails (splinter hemorrhages that look like blood lines under the nails)
And will have SPlenomegaly

They also present w/ all the other stuff like fatigue, fever, the norms, but I need to focus more on what stands out

Question 10

Patient presents with…
goiTer
TTTachycardia
bilaTeral exopthalmos
fine Tremor with ouTstreTched hands

What is this and tell me about it a lil bit!?

Answer 10

hyperThyroidism

High T3 and T4 but that TSH is low low (1ily)