HPI and PE Flashcards
1
Q
S3
A
“Kentucky”
2
Q
S4
A
“Tennessee”
-almost always considered pathological
3
Q
Left-side heart failure
A
- pulmonary congestion
- cough
- crackles
- wheezes
- blood-tinged sputum
- tachypnea
- paroxysmal nocturnal dyspnea
- elevated pulmonary capillary wedge pressure
- restlessness
- confusion
- orthopnea
- tachycardia
- exertional dyspnea
- fatigue
- cyanosis
4
Q
Right Sided Heart Failure
A
- fatigue
- increase peripheral venous pressure
- ascites
- enlarged liver and spleen
- may be secondary to chronic pulmonary problems
- distended jugular veins
- anorexia and complaints of GI distress
- weight gain
- dependent edema
5
Q
Orthostatic Hypotension
A
- drop in systolic pressure of 20 mmHg or more in 3 minutes
- drop in diastolic pressure of 10 mmHg or more in 3 minutes
- pulse increase by 20 beats/minute
6
Q
Apex
A
mitral valve
7
Q
Left sternal border
A
tricuspid valve
8
Q
2nd and 3rd right interspace
A
aortic valve
9
Q
2nd and 3rd left interspace
A
pulmonic valve
10
Q
Osler Nodes
A
endocarditis
11
Q
Janeway lesions
A
sub-acute bacterial endocarditis
12
Q
Splinter Hemorrhages
A
sub-acute bacterial endocarditis or trichinosis
13
Q
Nail Clubbing
A
- most etiologies unknown
- common with pulmonary and cardiac disorder
14
Q
Corneal Arcus
A
hyperlipidemia
15
Q
Beck’s Triad
A
- distended neck veins
- decreased or muffled heart sounds
- hypotension
