pulses, JVP and valve causes Flashcards

1
Q

collapsing pulse description

A

tall upstroke and then fall away

wide pulse pressure

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2
Q

collapsing pulse

A

aortic regurgitation and incompetence

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3
Q

bounding plse

A

acute CO2 retention, hepatic failure and sepsis

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4
Q

jerky pulse

A

HOC and mitral regurgitation

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5
Q

pulsus bisferiens

A

mixed aortic valve disease and HOC

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6
Q

what is seen in HOC

A

jerky pulse and pulsus bisferiens

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7
Q

pulsus paradoxus is

A

DECREASE in BP with inspiration

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8
Q

what is pulsus paradoxus and kussmual signs seen in

A

constrictive pericarditis and cardiac tamponade

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9
Q

kussmaul sign

A

RISE in JVP on inspiration

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10
Q

causes of MR

A

papillary muscle or chorae tendinae rupture

annular dilattaion

leaflet - rheumatic, endocarditis or myoxmatous

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11
Q

causes of AS

A

age

congenital eg bicuspid valve

rheumatic

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12
Q

cause of MS

A

rheumatic heart disease

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13
Q

cause of AR

A

annulus - marfans and aortic dissection

leaflet - rheumatic, connective tissue or endocaridits (most common)

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14
Q

tricupsid regurgitation

A

large JVP V waves

pansystolic at lower left sternal edge

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15
Q

raised fixed JVP

A

SVC obstruction

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16
Q

absent a waves - JVP

A

AF

17
Q

cannon a waves JVP

A

complete heart block, AV dissociation and ventricular arrhythmias

18
Q

JVP a wavew

A

atrial contraction

19
Q

JVP c wave

A

tricuspid valve bulging into atrium in ventricular contraction

20
Q

JVP v wave

A

rise of atrial pressure during filling

21
Q

what is s4 heard in

A

HOM and hypertension