Pastest Buzzwords Flashcards
patient gets pericarditis 2-10 weeks post MI/CABG
Dressler’s Syndrome
non productive cough, dysponoea, flu like symptoms, tachypnoea, pericardial rub
pericarditis
triad of fever, pleuritic pain, pericardial effusion
dressler’s syndrome
what valve is affected in IVDU in endocarditis?
tricuspid
janeway lesions/osler’s nodes
subacute bacterial endocarditis
symptoms and signs or endocarditis (FROM JANE)
Fever
Roth spots
Osler’s nodes
Murmur
Janeway lesions
Anaemia
Nails (splinter haemorrhages)
Emboli
antibiotics for native valve subacute endocarditis
amoxicillin and gentamicin (IV)
antibiotics for native valve acute
flucloxacillin (IV)
antibiotics for prosthetic valve/suspected MRSA
vancomycin (IV) + rifampicin (PO) + gentamicin (IV)
antibiotics for native valve severe sepsis/risk factors for resistant pathogens
vancomycin (IV) + metropenem (IV)
treatment for bradycardia
IV atropine
treatment of SVT
- vagotonic manouvres
- IV adenosine/verapamil
- DC shock, if compromised
treatment for pre excited AF
flecainide
treatment for acute VT
- amiodarone or lidocaine
slow rising pulse
aortic stenosis
collapsing pulse
aortic regurg
radiofemoral delay
coarctation of the aorta
jerky pulse
- HOC
- mitral regurg
treatment of hypertension
- 55yo/black - CCB
- ACE and CCB
- ACE, CCB, diuretic
- resistant hypertension
harsh pan systolic murmur left sternal edge
ventricular septal defect
mitral stenosis (TLR)
- tapping apex
- loud S1
- rumbling mid diastolic
aortic stenosis (SESH)
- soft s2
- ejection systolic (aortic area, radiates to carotids and apex, crescendo decrescendo)
- heaving non displaced apex
aortic regurg (DES)
- displaced apex
- early diastolic
- slow rising pulse
mitral regurg (DSP)
- displaces apex
- soft s1
- pansystolic (radiating to axilla)
broad complex tachycardia
ventricular problem
narrow QRS
atrial origin
p in ecg
atrial depolarisation
0.08-0.10
QRS in ecg
ventricular depolarisation
T in ecg
ventricular repolarisation
0.12-0.20
PR interval
0.12-0.20
inferior MI
2,3, aVF (right coronary artery)
anterolateral MI
1, aVL, V2-6 (LAD/left circumflex)
anterior MI
V2-5 (LAD)
anteroseptal MI
V1-4
posterior MI
reciprocal changes in V1-2 (left circumflex/right coronary)
malar flush
mitral stenosis
st depression
ischaemia