PE Flashcards

1
Q

What are the layers of the heart from outer to inner?

A
  1. Fibrous pericardium
  2. Serous parietal pericardium
  3. Pericardial space
  4. Visceral pericardium (epicardium)
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2
Q

What is heart layer that is the smooth wall of a cavity called?

A

Serous parietal layer

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3
Q

What is the heart layer that is smooth toward the Organ called?

A

Visceral layer (epicardium)

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4
Q

What is the heart layer that is the thick outer sack called?

A

Fibrous pericardium

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5
Q

What is another name for the visceral layer of the heart?

A

Epicardium

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6
Q

List the layers of the heart from inner to outer

A
  1. Visceral pericardium (epicardium)
  2. Pericardial space
  3. Serous parietal pericardium
  4. Fibrous pericardium
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7
Q

The epicardial layer of the heart is also known as?

A

Visceral layer

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8
Q

What are some ideologies of a pericardial effusion?

A

-idiopathic
-infection
-TB
-Uremia
-autoimmune/inflammatory diseases
-Neoplastic disease ( abnormal tissue)
-MI
-Post cardiac surgery
-Trauma
-Radiation

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9
Q

What is neoplastic disease?

A

Abnormal tissue

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10
Q

What is the pathophysiology of a pericardial effusion?

A

1-pericarditis occurs
2. Extra fluid secretes into the pericardial space
3. heart try’s to expand to compensate for extra fluid

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11
Q

What are some physical signs of a pericardial effusion?

A

-positional angina
-Dyspena
-Distended neck veins
- friction rub murmur
-pulses paradoxus

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12
Q

What is the murmur associated with a pericardial effusion?

A

Friction rub

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13
Q

What is the pulses paradoxes change for PE?

A

A decrease of <10mmhg of the systolic BP with inspiration

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14
Q

What is the biggest echo sign of a PE?

A

Echo free space between the visceral and parietal pericardium

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15
Q

With a PE always perform a ____ valve to ____ sweep in m-mode.

A

Aortic to LV

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16
Q

Isolated interior echo free spaces are indicative of?

A

Most likely a epicardial (visceral) fat pad not an effusion

17
Q

True or false- Loculated effusions are common

A

False they’re rare

18
Q

Loculated effusions are ___ except in what 2 cases?

A

Rare ; post cardiac surgery and metastatic disease

19
Q

What is commonly seen in long-standing effusion or effusion from metastatic disease?

A

Fibrin strands

20
Q

With PE what should you do with your Doppler?

A

Check for respiratory variation in flow across all valves

21
Q

A respiratory variation of _____ indicates possible ____

A

> 25% ; tamponade

22
Q

In what cardiac cycle do you measure a PE?

A

End diastole

23
Q

What is the measurement of a small pericardial effusion?

A

<1cm posteriorly

24
Q

What is the measurement of a medium sized pericardial effusion?

A

1-2cm anterior and posterior

25
Q

What is the measurement for a large pericardial effusion?

A

> 2cm surrounding the heart

26
Q

Pericardial effusion may be seen _____ to the left atrium in the____sinus

A

Posterior ; and oblique

27
Q

Where is the oblique sinus?

A

Posterior to the left atrium between two sets of pulmonary veins

28
Q

A pericardial effusion can often be seen in patients with?

  1. Aortic stenosis
  2. Atrial flutter
  3. Myocardial infarction
  4. Renal failure
A
  1. Renal failure
29
Q

What is the pericardial effusion grading criteria for small medium and large?

A

Small PE = <1cm

Moderate PE= 1-2cm

Severe PE= >2cm