Med Geeks Cardio Flashcards
CHF
Orthopenea paraoxysmal nocturnal dyspnea JVD S3 in HFrEF S4 in HEpEF
HOCM
sudden death in athlete
ASD
Fixed wide splitting of S2
Coarctation of Arota
rib notching on x-ray
Difference btwn arterial pulses and BP in UE and LE i
PDA
Machine like murmur
Tet of fallot
cyanocis with crying/feeding
tet spells
VSDD
Holsytolic murmur
Cardiogenic shock
hyotensive, cold, MI
Afib
irreguarly irregular rhythm
lack of p waves
a flutter
saw tooth
AV block moBitz 1
long PR that gets progressively longer
AV block moBitz 2
Dropped QRS without lengthening PR
Third degree AV block
p and QRS are independent of each other
Paroxysmal supraventricular tachycardia
narrow complex tachycardia
stable angina
chest pain relieved with rest
prinzmetal angina
coronary artery spasms, ST segment elevation that quickly returns to baseline
ACS
UA,STEMI,NSTEMI, ASA first maybe morphine O2 Nitrates P2Y12 inhibitor Heparin BB ACEi Statin
Cocaine induced MI
no BB give benzos instead
Aortic aneurysm
abdominal US for men 55?-75 who have smoked
Aortic dissection
marfan/ehlers danlos.
tearing chest pain
wide mediestinum
GCA
jaw claudication
visual disturbances
>50 years
Elevated ESR
PAD
leg pain relieved with cilostazol
superficial thrombophlebitis
palpable cord
DVT
Virchow’s triad
unilateral LE swelling/pain and erythema
homan sign
Murmur positions
Squatting, leg raise, handgrip, increase sound except for MVP and HOCM
aortic stenosis
systolic
2nd right inter-coastal space
radiates to neck
Mitral regurg
holsytolic
mitral prolapse
women, anxity, mid systolic click
aortic regurg
wide pulse pressure, hammer pulse
Endocarditits
new murmur fever injection drug user, strep viridans, jan way lesions osler nodes s aureus in IV drug user
PERICARDITIS
PLEURITIC chest pain
worse when laying
improves with sitting
diffuse st segment elevation and PR depression