Stenosis And Regurgitations Flashcards

1
Q

What is heard with aortic stenosis

A

Ejection systolic
Opening mid systolic click
Slow rising pulse
Narrow pulse pressure

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2
Q

Causes of aortic stenosis

A

Calcification caused by hyperlipidemia diabetes smoking alcohol cholesterol hypertension age

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3
Q

Where can it radiate

A

Radiate to carotids

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4
Q

Symptoms with aortic stenosis

A

Dysnpnea
Syncope
Shortness of breathe
Angina

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5
Q

Treatment

A

Valve replacement

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6
Q

Difference between prosthetic and metal values

A

Prosethic last longer and do not need anti coagulationnwjwreas metal need warfarin

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7
Q

What is seen on echo and X-ray

A

Left ventricular hypertrophy

Calcified valve

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8
Q

Mitral regurgitation wjonis it seen in

A

Infective endocarditis
Rheumatic fever
Marfans
Mitral valve prolapse

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9
Q

characterised by

A

Pansystolic murmur over apex beat and radiate to axilla

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10
Q

In echo and ecg and X-ray

A

Lv dilatation

Mitral valve reverse flow

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11
Q

Which is associated with af ?

A

Mitral regurgitatation

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12
Q

Which associated with pulmonary odema

A

Mitral regurgitation

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13
Q

Management of regurgitation mitral

A

Treat hupertension and af
Valve replacement
Aortic balooon pulp

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14
Q

Aortic regurg signs

A

Collapsing pulse

Blinding water hammer pulse

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15
Q

What phase is aortic regurg in

A

So aortic valve shut in diastole so therefore regurg would allow baxk flow so early diastolic murmur

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16
Q

causes of aortic regurg

A

Usually aortic root or aorta filtration
Infective endocarditis
Htn
Ageing

17
Q

Complications

A

Lv hypertrophy

Heart failure

18
Q

Which has a wide pressure pulse

A

Aortic regurg

19
Q

What is quicke sign and what one

A

Ar

Head nodding

20
Q

What is mitral stenosis

A

Mitral stenosis is narrowing of mitral valve so increased pressure of blood into left atria to ventricle.

21
Q

Stenosis affects what

A

Affects diastole because filling phase occurs now so mid diastolic click

22
Q

Mitral regurg is what phase

A

In systole the mitral valve is shut so regurg would allow baxkflow making it pansystolic murmur

23
Q

Causes of mitral stenosis

A

In pregnancy
Thematic heart disease
Steph a beta haemolytic step

24
Q

Common feature of mitral stenosis

A

Dyphadgis or haemtpysis

Compression of oesephsgus