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Part 4 > Heart Exam > Flashcards

Heart Exam Flashcards

1
Q

Inspection for Heart

A

Supine, trunk elevated 30 degrees, stand on right side

Look for dyspnea, color, edema, pulsations, heaving, apical impulse

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2
Q

Palpation for Heart

A

Aortic Valve - 2 R
Pulmonary - 2 L
Tricuspid - 4 or 5 L
Mitral - 5 L

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3
Q

Percussion for Heart

A
  1. Left side (lat to med) 3, 4, and 5th intercostal spaces

2. Right side (sup to inf) right sternal border

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4
Q

Side of stethoscope for pitch and bruits

A

Low (bruit - stenosis)

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5
Q

Side of stethoscope for pitch and regurgitation

A

High (regurgitation)

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6
Q

Ascultation preference for Abdominal Aorta

A

Bell

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7
Q

Palpation preference for Abdominal Aorta

A

lateral to medial

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8
Q

Name of right sided heart failure

A

Cor pulmonale

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9
Q

Causes of right sided heart failure

A

Pulmonary HTN
Chronic lung diseases
COPDs

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10
Q 
Right Ventricle Hypertrophy
Right Ventricle Failure, edema
Jugular Distention
Portal Hypertension 
(varicosities and liver disease)
A

Right sided heart failure

Cor pulmonale

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11
Q

AKA for Left Sided Heart Failure

A

CHF

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12
Q

Causes of Left sided heart failure

A

Systemic HTN

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13
Q

Left Ventricle Hypertrophy (cardiomegaly on Xray)
Left Ventricle Failure and Fatigue (echo for leakage)
Nocturnal Dyspnea
Pulmonary Edema
Pulmonary Effusion (pink and frothy sputum)

A

Left sided heart failure

CHF

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14
Q

CHF
Depress Tissue
Count Seconds for Recovery

A

pitting edema

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15
Q

Blood pressure changes
Heart Hypertrophy
Fatigue
Echocardiogram Study

A

Murmur

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16
Q 
Dizzy
Nausea
Nystagmus
Bruits
Pulsations
A

Vertebral insufficiency

Carotid calcification

17
Q

TIA, weakness, hemiplegia, diplopia, speech

A

CVA

18
Q 
EKG
Cardiac enzymes (Troponin, CPK, SGOT (AST), LDH)
Nuclear Profusion
Stress Test 
Pain greater than 10 minutes after rest.
A

MI

19
Q

Treatment for heart

A 
Evaluate drugs (birth control, hormone therapy, prostate)
Co-care, adjust T1-4, weight loss, decrease fats, increase marine lipids, decrease salt, increase fiber, exercise

Part 4 (19 decks)

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