Heart Flashcards
67/M, presented w/:
EASY FATIGABILITY
PND
3 PILLOW ORTHOPNEA
Known case of HPN
Type of HF seen
Left sided HF
45/M known case of COPD, presented w/
DEC SENSORIUM
INC LIVER SPAN
LOWER EXTREMITY EDEMA
Right sided HF
30/M, with occasional episodes of chest heaviness, dyspnea and syncope
Cardiac PE: (+) SYSTOLIC murmur at the 2nd LICS
CXR: increased pulmonary vascular markings w/ RVH
ATRIAL SEPTAL DEFECTS
5/M, apparently asymptomatic w/ an incidental finding of HOLOSYTOLIC murmur best heard at the LEFT LOWER STERNAL BORDER radiating to the RIGHT LOWER STERNAL BORDER
CXR: increased pulmonary vascular markings, BVH and normal aortic knob size
VENTRICULAR SEPTAL DEFECTS
4/M, CYANOTIC w/ failure to thrive
CXR: decreased pulmonary vascular markings and RVH, BOOT SHAPED HEART
Tetralogy of Fallot
3d/M, CYANOTIC w/ history of maternal GDM
CXR: increased pulmonary vascular markings and RVH, EGG on the SIDE APPEARANCE
Transposition of the Great Arteries
48/M, known HPN presented w/
EXERTIONAL RESTROSTERNAL CHEST HEAVINESS > 2 mins in duration that IMPROVES w/ REST
ECG: non specific ST wave changes
cardiac markers: (-)
Chronic Stable Angina Pectoris
48/M, known HPN presented w/ HEAVINESS AT REST lasting > 15 mins w/o improvement with ISDN sublingual tablets
ECG: ST wave depression in contiguous leads
cardiac markers: (-)
Unstable Angina
48/M, known HPN presented w/ CHEST PAIN > 30 mins
cardiac markers: (+)
NSTEMI
48/M, known HPN presented w/ CHEST PAIN > 30 mins
cardiac markers: (+)
patient died 2 HOURS after the onset of chest pain, what would be the expected morphologic finding on autopsy?
Waviness of fibers at border of infarct
48/M, known HPN presented w/ CHEST PAIN > 30 mins
cardiac markers: (+)
patient died 2 HOURS after the onset of chest pain, what would be the expected morphologic finding on autopsy?
Waviness of fibers at border of infarct
48/M, known HPN presented w/ CHEST PAIN > 30 mins
cardiac markers: (+)
patient died 2 DAYS after the onset of chest pain, what would be the expected morphologic finding on autopsy?
Coagulation necrosis w/ neutrophilic infiltration
12/F presented w/ DYSPNEA and KNEE PAIN (with an antecedent history of ankle pain that spontaneously improved)
History revealed PREVIOUS SORE THROAT 4 weeks prior to the onset of symptoms. ASO titer is HIGH
PE: SYSTOLIC murmur at APEX
Autopsy: ASCHOFF BODIES in the epicardium, myocardium and endocardium
Rheumatic Heart Fever - Type III
12/F presented w/ DYSPNEA and KNEE PAIN (with an antecedent history of ankle pain that spontaneously improved)
History revealed PREVIOUS SORE THROAT 4 weeks prior to the onset of symptoms. ASO titer is HIGH
PE: DIASTOLIC murmur at APEX
Autopsy: FISH-MOUTH DEFORMITY of the MITRAL VALVE
Mitral stenosis
12/F presented w/ DYSPNEA and KNEE PAIN (with an antecedent history of ankle pain that spontaneously improved)
History revealed PREVIOUS SORE THROAT 4 weeks prior to the onset of symptoms. ASO titer is HIGH
Presented w/ HIGH FEVER.
Blood CS: (+) Viridans streptococci
Autopsy: LARGE, IRREGULAR MASSES on the VALVE CUSPS that may EXTEND into CHORDAE
Subacute Infective (Vegetative) Endocarditis
