Shorts Edit Flashcards

1
Q

Signs of severity of mitral stenosis?

A

early opening snap
length of the mid diastolic rumbling murmur
diastolic thrill at apex
presence of pulmonary hypertension

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2
Q

Signs of severity of MR?

A
small volume pulse
signs of LV failure
displaced apex beat
soft S1 and loud S3 
signs of pulmonary hypertension
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3
Q

Signs of severity of aortic regurgitation?

A
collapsing pulse
wide pulse pressure
length of decrescendo diastolic murmur
S3
soft A2
signs of left ventricular failure 
Austin flint murmur (diastolic murmur caused by limitation to mitral inflow by the regurgitation jet)
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4
Q

Signs of severity of AS?

A

small volume slow rising pulse
aortic thrill
length, harshness and lateness of the peak of the systolic murmur
fourth heart sound
reversed splitting of the second heart sound
left ventricular failure
pressure loaded apex beat

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5
Q

Signs of TR?

A
large v waves on JVP
right ventricular heave
pansystolic murmur loudest at the lower edge of the sternum, louder on inspiration 
pulsatile liver 
ascites
peripheral oedema
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6
Q

Causes of TR?

A

right ventricular failure
rheumatic
infective endocarditis
ebstein’s anomaly

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7
Q

Causes of MR?

A
degenerative disease
mitral valve prolapse
rheumatic disease
papillary muscle dysfunction (ischaemia)
left ventricular dilatation 
infective endocarditis
connective tissue disease
cardiomyopathies
congenital
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8
Q

Indications for surgery in MR?

A
class III or IV symptoms 
left ventricular dysfunction
left ventricular dimensions have increased progressively
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9
Q

Causes of AR?

A
endocarditis
congenital abnormalities
rheumatic disease
radiation induced 
hypertensive aortopathy
connective tissue disease (ankylosing spondylitis, marfan’s syndrome)
degenerative aortopathy (including tertiary syphilis) 
aortic dissection
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10
Q

Indications for surgery in AR?

A

severe symptomatic AR
asymptomatic with LVEF < 50%
having other cardiac surgery
dilated LV

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11
Q

Signs of severe AS on TTE?

A

maximum velocity > 4m/s
mean gradient > 40mmHg
aortic valve area < 1cm
index AVA < 0.6cm/m

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12
Q

Signs of hypertrophic cardiomyopathy?

A
sharp rising jerky pulse
prominent a waves on JVP
double or triple impulse apex beat
late systolic ejection murmur loudest at left lower sternal edge - louder with valsalva 
fourth heart sound
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13
Q

What are the causes of AS?

A
degenerative calcification
bicuspid aortic valve
rheumatic
congenital
IE
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14
Q

Causes of upper lobe pulmonary fibrosis?

A
Silicosis, sarcoidosis
Miner's (coal) lung
Ankylosing spondylitis/APBA
Radiation
Tuberculosis
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15
Q

Causes of lower lobe pulmonary fibrosis?

A
Cryptogenic fibrosis alveolitis
Asbestosis
RA
Drugs 
Scleroderma
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16
Q

Causes of hepatomegaly?

A
Metastases
Alcoholic liver disease with fatty infiltration
Myeloproliferative disease
Right heart failure
Hepatocellular cancer
Haemochromatosis
Leukaemia/lymphoma
Amyloid
Hepatitis
17
Q

Causes of hepatosplenomegaly?

A
Chronic liver disease with portal hypertension
Haematological disease
Infection
Infiltration - amyloid, sarcoid 
Connective tissue disease
Acromegaly
Thyrotoxicosis
18
Q

Causes of splenomegaly?

A
Massive (LMLM)
- lymphoma
- myelofibrosis
- leukaemia
- malaria
Moderate (PLLTS)
- portal HTN
- leukaemia
- lymphoma
- thallasemia
- storage (gaucher)
Mild
- myeloproliferative disorders
- haemolytic anaemia
- infection - EBV, HBV, 
- CTD - SLE/RA
- infiltrate - amyloid, sarcoid
19
Q

Causes of sensory predominant neuropathy?

A
B12
Diabetes
EtOH
Myeloma
Paraneoplastic
20
Q

Causes of motor predominant neuropathy?

A
AIDP
CIDP
charcot marie tooth
MND
MMN
21
Q

Causes of increased vocal resonance?

A

consolidation
lobar collapse
tumour

22
Q

Causes of decreased vocal resonance?

A

pleural effusion

lobectomy

23
Q

Differential diagnosis for thoracotomy scar

A
lobectomy
pneumonectomy
single lung transplant
biopsy 
bullectomy
24
Q

Indications for lung transplant

A
ILD
COPD
CF (must be bilateral lung) 
pulmonary hypertension
eisenmenger syndrome
25
Q

Normal value for schober’s test?

A

> 5cm

26
Q

Normal value for occiput to wall distance?

A

< 2cm

27
Q

Normal value for lateral flexion?

A

> 10cm

28
Q

Normal value for chest expansion?

A

> 5cm