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1
Q

trombangeita obliteranta

A

boala Buerger
inflamatie vasculara + fenomene trombocluzive
art + vene
vase mici si medii, NU mari
B tineri fumatori
amorteala furnicaturi arsura hipoestezie claudicatie intermitante durere de repaus
tromboflebita superficiala migratorie 50%
semne de ischemie distala: extremitati reci edematiate ulceratii dureroase gangrena degete pulsuri distale neregulate maini albe albastre si rosii la exp la frig, test Allen +

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2
Q

tromboflebita superficiala migratorie

A

sdr Trousseau
tromboze repetate vene superficiale mb inf
asoc cu carcinom pancreatic/ neoplasme de alte org int

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3
Q

in IMA … creste activitatea SNS

A

anterior

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4
Q

in IMA … creste activitatea PS

A

inferior

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5
Q

distensia jugulara fara raluri crepitante ridica suspiciunea de IMA …

A

de VD

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6
Q

aplatizarea jugulara ridica suspiciunea de IMA …

A

intins cu soc cardiogen

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7
Q

temperatura corporala in primele zile ale IMA

A

< 38

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8
Q

blocul de ramura … este criteiriu de IMA

A

stanga

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9
Q

echivalenta anginoasa de IMA la pacientii batrani e …

A

IVS acuta

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10
Q

in IMA …. apare o bombare aplicala diastolica in primle zile, motiv pt care apare o pulsatie sistolica anormala

A

ant al VS

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11
Q

Z1 in IMA

A

diminuat: scaderea contractilitatii, prelungire PR
accentuat: tahicardie, scurtare PR

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12
Q

Z2 in IMA

A

normal
dd paradoxal: IVS severa sau BRS

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13
Q

in IMA apare suflu…

A

sistolic

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14
Q

sufluri sistolice din IMA

A
  1. I Mi tranzitorie din cauza disfunctiei mitrale
  2. I Mi persistent din ruptura de muschi papilari
  3. I Tri din cauza IVD, rupturii de m papilari sau HTA
  4. din ruptura de SIV
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15
Q

cum iradiaza suflul sistolic di ruptura de SIV

A

in spita de roata

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16
Q

frecatura pericardica apare in IMA …
la cat timp de la debut?

A

transmural
prima zi sau dupa 2 sapt

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17
Q

in prima ora de IMA TA …

A

ramane normala

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18
Q

pulsul carotidian din IMA

A

diminuat: scadere DC
rapid si amplu: creste volumul in I Mi ac sau ruptura SIV
alternant: IVS severa

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19
Q

semnul Cyrill Ogle

A

pulsatii jugulare absente

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20
Q

nd sunt pulsatiile jugulare absente

A

obstructia VCS
pericardita constrictiva

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21
Q

cand apare puls carotidian alternant

A

IVS

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22
Q

in IMA apare respiratia Cheyne Stokes la pacientii cu …

A

disfunctie ventriculara severa

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23
Q

intensitatea suflurilor cardiace se masoara pe scara…

A

Harvey Levine

24
Q

nr grade scara Levin ept intensitatea suflurilor

25
gradul 6 pe scara Levine sufluri
f intens se aude cu steto la cativa cm de torace
26
dupa gradul ... inclusiv pe scara Levine suflul e perceptibil la palpare
4
27
ce grad are suflul perceptibil la aplicarea infompleta a stetoscopului (scara Levine)
5
28
clasele NYHA de IC
1 fara limitari fizice 2 limitare usoara la eforturi obisnuite 3 limitare marcata la eforturi mici 4 apare dispnee oboseala palpitaii si durere in repaus
29
supradenivelare ST (4)
1. angina vasospastica Prinzmetal 2. IMA 3. anevrism post IM 4. pericardita acuta fibrinoasa
30
EKG cardiomiopatia de stres Tako Tsubo
supradeniv tranzitorie ST T negative in precordiale LQT
31
in St Mi cu fibrilatie A lipseste
suflul presistolic care continua uruitura disastolica (contractie AS dilatat)
32
cand poate lipsi CDM din St MI
in SM avansata: valve calcifiate si imobile
33
galopul ventricular este
protodiastolic
34
galopul atrial este
presistolic= telediastolic
35
cand apare galop ventricular
accentuare Z3 creste presiunea telediastolica: IM IA IT severa ac CMR pericardita constrictiva creste DC: tireotoxicoza sarcina sunt mare stg dr
36
cand apare galop atrial
accentuare Z4 vol ventricular crescut/complianta redusa SA SP CMD I Mi ac HTA IM anevrism ventricular
37
cand apare galopul de sumatie
tahicardii BAV gr I
38
galop dublu= ... cand apare
ritm cvatriplu bradicardii extreme
39
Z3 si 4 sunt produse de vibratiile ... din ....
ventriculare din umplerea rapida ventriculara 3 din contractia A 4
40
fenomenul lui Gallavardin
iradierea suflurilor de ejectie la nivelul inimii cand au vrecventa inalta
41
caracteristici sufluri de ejectie sistolice
aspre crescendo descrescendo
42
suflul de ejectie sistolice se accentueaza in ... cand ia nastere din inima dreapta
inspir
43
cand apar suflurile de ejectie sistolica
obstructia caii de ejectie VS si VD SA CMH SP
44
suflul de regurfitare sistolica poate trece in diastola in ... si este continuu sistolo diastolic in ....
I Mi PCA
45
suflurile sistolice de regurgitrare se accentueaza in
inspir cand iau nastere din inima dr dupa efort
46
caracteristici sufluri sistolice de regurgitrare
suieratoare in platou
47
caracteristici sufluri de umplere ventriculara
descrescendo joase
48
cand apar sufluri de umplere ventriculara
stenoze v AV
49
suflurie de umplere ventriculata sunt accentuate in ... dacaiau nastere din inima dr
inspir
50
caracteristici sufluri de regurgitare sigmoidiana
descrescendo ianlte caracter aspirativ
51
cand se accentueaza suflurile de regurgitrare sigmoidiana
IA: expiratie ortostatism torace aplecat inainte dupa ridicare brate IP in inspiratie (suflu din inima dr)
52
suflul Carey Coombs unde cand boala
apex mezodiastola valvulita Mi din RAA
53
suflul Austin Flint
apex mazodiastola IA severa ce det SM functionala
54
suful Graham Steel
zona pulmonara proto/holodiastolic SP sau HTP severa (IP functionala) apare in SM, HTP
55
clasificarea canadiana a anginei pectorale
1 durere la efort intens rapid sustinut 2 durere la efort mediu, limiteaza usor 3 durere la eforturi mici, limiteaza sever 4. durere de repaus
56
tromboflebita profunda simptome si semne
tromboza neocluziva simptome absente tromboza ocluziva duce la inflamatie venoasa parietala durere venoasa spontana in masa musculara (acc de efort si tuse, ameliorata de anticoag, conentie ext si repaus) tegumente palide lucioase (phlegmatia alba dolens) si calde sau cianotice si reci (phlegmatia caerulea dolens) edem inflamator: fosa poplitee, triunghul lui Scarpa, molet, coapsa edem de staza alb moale // cianotic de la subfebrilitate la 38.5 fara frison, rez la ab dar cedeaza la ac semnul lui Mikaelis pulsul catarator al lui Mahler durere provocata prin Homans lisker louvel lowenberg ramirez dilatare vene superficiale fata antmed gamba (semnul lui Pratt)

semio cardiac (3 decks)

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