PANCE Quick Hitters Flashcards
Orthopnea, paroxysmal nocturnal dyspnea, JVD, S3
CHF
Sudden death in athlete
HOCM
Fixed wide splitting of S2
Atrial septal defect
X-ray, rib notching, 3-sign
Coarction of aorta
Machine like murmur
PDA
Cyanosis with crying or feeding
Tetralogy of fallot
Holosystolic murmur
VSD
Hypotensive, cool, clammy skin and MI
Cardiogenic shock
Irregularly irregular rhythm
Atrial fibrillation
Saw tooth pattern
Atrial flutter
Long PR interval
AV block
Progressively legnthing PR interval
Mobitz 1
Dropped QRS without lengthening
Mobitz 2
Independent P wave and QRS complex
Third degree block
Narrow complex tachycardia
Paroxysmal Supraventricular tachycardia
Chest pain relieved with rest
Stable angina
Diffuse ST segment elevations, cornary artery spasm
Prinzmetal angina
UA, STEMI, NSTEMI, morphine, nitrates, loading dose of P2y12
ACS
NO BB, give Benzodiazepines
Cocaine induced MI
Tobacco-US >65
Aortic aneurysm
Marfan syndrome, ehlers danlos syndrome, tearing chest pain, wide mediastinum
Aortic dissection
Jaw claudication, visual disturbance, >50 of age, elevated ESR
GCA
Leg pain relieved with Nitro
PAD
Palpable cord
Superficial thrombophlebitis
Virchows triad, unilateral LE swelling and erythema, Homan sign
DVT
Squatting/leg raise/ handgrip increases the sound of all except HOCM and MVP
Murmurs
Systolic, 2nd right intercostal space, radiates to neck
Aortic stenosis
Holosystolic murmur
Mitral regurgitation
Women, anxiety, mid-systolic click
MVP
Wide pulse pressure, water hammer pulse
Aortic regurgitation
New murmur, Fever, injection drug use, streptococcus viridans, Jane way lesions, Osler nodes, Roth spots
Endocarditis
Pleurtic chest pain. Worse upon laying. Improved with sitting, ST segment elevation, PR depression
Pericarditis
Wheezing, reversible airway, Samters triad, reduced FEV1 to FVC ratio
Asthma
Viral, cough, negative CXR
Acute bronchitis
RSV
Bronchiolitis
HIB. Hot potato voice, sniffing position, drooling. XR- thumb sign
Epiglottis
Barking cough. XR- steeple sign
Croup
Inspiratory whoop
Pertussis
Productive cough, pleuritic chest pain, fever. Lobar consolidation = bacteria
Bilateral interstitial infiltrate: viral/pneumocystis
Pneumonia
Fever, night sweats, hemoptysis, AFB/culture x 3 days. RIPE. Screen with TNF inhibitors, immigration
TB
Diarrhea, flushing, bronchospasm
Carcinoid syndrome
Cystic fibrosis. Tram lines. Obstructive pattern
Bronchiectasis
Smoking, alpha 1 antitrypsin deficiency, barrel chest, decreased DLCO and FEV1
Emphysema
Smoking. Decreased FEV1
Chronic bronchitis
Autosomal recessive, infertility, sweat chloride test
Cystic fibrosis
Viechows triad. Sinus tachycardia, pleuritic chest pain, S1Q3T3, Westermark sign, Hampton hump
PE
Insulation, ship building
Asbestosis
Sandblasting, mines, egg shell calcification
Silicosis
Coal
Coal workers pneumoconiosis
Aerospace, electrical plants
Beryllium
Non caseating granulomas, erythema nodosum, bilateral hilar adenopathy, elevated ACE
Sarcoidosis
Smoking, family history, males, tall/skinny, pleuritic Chest pain
Pneumothorax