Misc Flashcards
How do you treat ALL the myopathys?
Transplant
warfarin
ICD- to prevent defib
What causes myocarditis?
Infection auto immune Drugs cocaine Idiopathic
What are the symptoms of myocarditis?
Fever Arthalgia Chest pain Dsypnoea Cyanosis General infection
What the causes tamponade
Aortic dissection
Warfarin
Surgery
Pericarditis
What is associated with Digeorge?
PTA/VSD/Tetraology
cleft palate
What do you seen on CXR with Marfans?
Apical blebs
How do you treat long QT syndrome?
Lidocaine -1b
When do you have to do surgery on endocarditis?
- Uncontrolled infection
- HF
- av block
- Embolism
- Leaflet perforation
How does tamponade present?
Presents via Decreased BP High HR Muffled heart sounds Raised JVP Dyspnoea Cough
What can be seen in exam when lung carcinoma is present?
- Hepatomegaly
- SVC Obstruction
- Tracheal deviation
Ways to test for PAD?
-Duplex
-CT angiography
-ABPI
Beurgers test
Define the fontaine class of PAD?
1) minor
2) Mild claud over 200m
3) Mild claud under 200m
3) foot pain at rest
4) necrosis
Who is at risk for DVT?
-Pregnant mothers
-Immobile
-SMokers
_Obese
What can long term DVT cause?
Post Phlebitic syndrome
-Inflammation ,valvular imcompetence
What cultures are taken in suspected IE?
3 from different sites with 6 hours between
What are the common features of heart failure?
- Cyanosis
- Tachycardia
- Dyspnoea
- Fatigue
- Tachypnoea
What does V.Fib look like on an ECG?
Irregular and unformed QRS and no P Waves
FROM JANE?
- Fever
- Roth spots
- Oslers Nodes
- Murmur
- Janeway legions
- Anaemia
- Nail bed
- Emboli
What does PUFA 6 do?
Lowers HDL and LDL
What does PUFA 3 do?
Decrease TAG
Sat FA?
Inhibits LDL receptors
Trans FAT?
Raise LDL cholesterol, plasma TAG lowers HDL
Aortic stenosis?
Angina -scyncope LV Heave Thrill St depression radiates to carotids vigorous and sustained apex beat small pulse
Aortic regurgitation?
RHF
Brisk and hyperdynamic apex
wide pulse pressure
collapsing pulse
Mitral stenosis?
Roll on side and breathe out
tapping apex beat
thrills
LA enlargement
Mitral regurgitation?
Rv heave
hyperdynamic apex
raditaes to axilla
what do you not use to treat acute heart failure?
b blockers
ACEi
