Key Phrases Flashcards
Isolated mid systolic click
MVP
Machinery murmur
PDA
Opening snap
Mitral stenosis
Large bounding carotid pulse
Aortic regurgitation
Asymptomatic
systolic murmur in pulmonic area
Wide split S2
ASD
Noncyanotic congenital defect
Harsh pansystolic murmur
@ LSB
With thrill
VSD
Most close spontaneously b4 6yo. Indications for surg = CHF or pulm htn
Pulses paradoxes
Think cardiac tamponade
Def: dec in BP >10mmhg during inspiration
Becks triad
Think cardiac tamponade
- JVD
- Muffled heart tones
- Hypotension
Aortic stenosis symptoms
- Angina pectoris
- Dyspnea
- Exertional syncope
Aortic insufficiency
HTN and widened pulse pressure
Pulsus alternans
Think Left ventricular failure
Alternating strong and weak beats
First heart sound (S1)
Closing of mitral and tricuspid valves
Tetralogy of fallot
- Overriding aorta
- VSD
- RVH
- Pulmonary stenosis
Harsh systolic murmur
Along LSB
radiation to neck
In infant
Infant aortic stenosis
Absent femoral pulses
Rib notching on CXR
Coarctation of aorta
Pyloric stenosis
- avg age of onset?
- PE finding?
- Sign on barium enema?
4-6 weeks old
Olive mass
String sign
Hirschsprung disease
Megacolon
EKG for HYPERkalemia
Peaked T waves
EKG for HYPOkalemia
Prominent U waves
EKG for Myocardial ischemia
T wave inversion
ST depression
Early sign of dig tox
Early PVCs
Treatment of asystole
Transcutaneous paving
Epinephrine
Atropine
Torsades
Prolonged QT interval
Hypomagnesemia
HYPOkalemia
Overdrive pacing
Causes of PEA
Hypovolemia
Tamponade
Tension PTX
PE
Treatment of PSVT
Adenosine (blocks AV node)
Main cause of peripheral arterial emboli disease
A-fib
Definition of ortho static hypotension
Dec in systolic of 20, diastolic of 10, or pulse of 20
Treatment of hyperkalemia
Kaexylate
Insulin with glucose
Bicarbonate
1 cause of respiratory alkalosis
Hyperventilation
Causes of ST Elevation
Pericarditis Myocarditis Acute aortic dissection Cholecystitis PE MI
6 life threatening causes of chest pain
Acute MI
Cardiac tamponade
Aortic dissection
PE
PTX
Esophageal rupture
Classification of unstable angina
- New onset
- More frequent, longer episodes, no relief with mess
- So produced by less exertion