Signs Flashcards

1
Q

Stable Angina

A
GTN relief
Tar staining 
Xanthalasma
Corneal Arcus
High BP
Tachycardia
Murmurs
HF signs
AAA
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2
Q

STEMI

A

No GTN relief
Distress/anxiety
Tachycardia
HF

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3
Q

NSTEMI

A

ECG shows no elevation

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4
Q

Unstable Angina

A

ECG shows ST depression or normal
4th heart sound
Carotid Bruits

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5
Q

Hypertension

A

Elevated BP

Retina vascular changes

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6
Q

Pulmonary hypertension

A
Left parasternal heave
Loud P2 sound
Soft pan systolic murmur
Diastolic murmur
Oedema
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7
Q

Pulmonary embolism

A
Tachypnoea
Course crackles over area involved
Pleural effusion
Raised JVP
RV heave 
Gallop rhythm
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8
Q

DVT

A

Asymmetric oedema

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9
Q

Mitral stenosis

A
Malar Flush
Normal pulse
Prominent A wave JVP
Tapping apex beat and diastolic thrill
RV heave
Diastolic murmur
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10
Q

Mitral regurgitation

A
Normal or reduced pulse
Prominent JVP if RHF
Brisk, hyperdynamic apex beat
RV heave
Reduced S1 and split S2, heard over apex and radiates to axilla
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11
Q

Aortic stenosis

A
Small volume and slow rising pulse
Prominent JVP is RHF
Low BP
Vigorous and sustained apex beat
RV heave Normal S1 but quiet S2, heard over aortic valve and radiates to carotids
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12
Q

Aortic regurgitation

A
Large volume and collapsing pulse
Wide pulse pressure
Hyper-dynamic displaced apex beat
Normal S1 and S2
Early decrescendo on left sternal edge with patient leaning forward
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13
Q

Rheumatic Heart disease

A
Polyarthritis
Chorea
Subcutaneous nodules
Erythema marginatum
Carditis 
Arthralgia
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14
Q

Infective endocarditis

A
Tachycardia
Pyrexia
New evolving murmur
Immune complex disposition
Embolic phenomena
HF
Clubbing 
Splinter haemorrhages
Osler's nodes
Janeway lesions
Haematuria
Petechial rash
Splenomegally
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15
Q

Congestive Heart Failure

A
Progressive cardiac dysfunction
Neurohormonal disturbance
Pulmonary oedema
Tachycardia
Raised JVP 
Chest crepitations/efffusions
3rd heart sound
Displaced/abnormal apex beat
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16
Q

Abdominal aortic aneurysm (AAA)

A
Hypotension
Tachycardia
Profound anaemia
Pulsatile expansible mass felt in abdomen
Trash feet
17
Q

Thoracic aortic aneurysm (TAA)

A

Hypotension
Tachycardia
Pulsatile mass

18
Q

Aortic dissection

A
Inferior ST elevation
Reduced/absent peripheral pulses
Acute hypertension
Chronic hypertension
AR murmur
Pulmonary oedema
19
Q

Coarctation of the aorta

A
Upper limb hypertension
Weak/delayed pulses in legs
Poor peripheral pulses in severe cases
Mid-late systolic murmur heard over upper precordium
Vascular bruits may be heard
20
Q

Ventricular septal defect (VSD)

A

Small - loud pansystolic murmur

Large - Pulmonary hypertension

21
Q

Atrial septal defect (ASD)

A

Atrial arrhythmias
Pulmonary hypertension
RV Heave

22
Q

Patent ductus arteriosis (PDA)

A

Pulmonary hypertension
Bounding pulse
Continuous machinery murmur

23
Q

Marfan’s Syndrome

A
Lens dislocation
Aortic dissection/dilation
Dural ectasia
Arachnodactyly
Arm span > height
Pectus deformity
Scoliosis
MV prolapse
High-arched palate
Joint hypermobility
24
Q

Stroke

A

Clumsy/weak limbs
Loss of feeling
Dysarthria/dysphasia
Visuo-spatial

25
Q

Chronic limb Ischaemia

A

Depends on size of occlusion

May cause pain when resting, ulceration and gangrene

26
Q

Dilated cardiomyopathy

A

HF
Arrhythmias
Conduction defects
Thromboembolism

27
Q

Hypertrophic cardiomyopathy

A
Arrhythmia
Double apical pulsation
Jerky carotid pulse
Ejection systolic murmur
Pansystolic murmur
Fourth heart sound
28
Q

Restrictive cardiomyopathy

A
Elevated JVP with diastolic collapse
Elevated venous pressure with inspiration
Hepatic enlargement
Ascites
Oedema
3rd and 4th heart sounds
29
Q

Myocarditis

A
HF 
Soft heart sounds
Prominent 3rd heart sound
Tachycardia
Pericardial rub
30
Q

Pericarditis

A

Pericardial rub
Leukocytosis
Lymphocytosis
Pericardial effusion features

31
Q

Atrial fibrilation

A

Worsening HF
Irregularly irregular pulse
Tachycardia

32
Q

Supraventricular tachycardias

A

Reduced CO
Hypotension
Congestive HF

33
Q

Atrial flutter

A

Saw-tooth waves between QRS complexes

34
Q

Ventricular fibrilation

A

Shapeless, rapid oscillations seen on ECG

35
Q

Sustained ventricular tachycardia

A

Hypotension
Cardiac arrest
Pulse rate 120-220 bpm
Atrioventricular dissociation