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semio cardiac > test > Flashcards

test Flashcards

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

A

6

25
Q

gradul 6 pe scara Levine sufluri

A

f intens se aude cu steto la cativa cm de torace

26
Q

dupa gradul … inclusiv pe scara Levine suflul e perceptibil la palpare

A

4

27
Q

ce grad are suflul perceptibil la aplicarea infompleta a stetoscopului (scara Levine)

A

5

28
Q

clasele NYHA de IC

A

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
Q

supradenivelare ST (4)

A
  1. angina vasospastica Prinzmetal
  2. IMA
  3. anevrism post IM
  4. pericardita acuta fibrinoasa
30
Q

EKG cardiomiopatia de stres Tako Tsubo

A

supradeniv tranzitorie ST
T negative in precordiale
LQT

31
Q

in St Mi cu fibrilatie A lipseste

A

suflul presistolic care continua uruitura disastolica (contractie AS dilatat)

32
Q

cand poate lipsi CDM din St MI

A

in SM avansata: valve calcifiate si imobile

33
Q

galopul ventricular este

A

protodiastolic

34
Q

galopul atrial este

A

presistolic= telediastolic

35
Q

cand apare galop ventricular

A

accentuare Z3
creste presiunea telediastolica: IM IA IT severa ac CMR pericardita constrictiva
creste DC: tireotoxicoza sarcina sunt mare stg dr

36
Q

cand apare galop atrial

A

accentuare Z4
vol ventricular crescut/complianta redusa
SA SP
CMD
I Mi ac
HTA
IM
anevrism ventricular

37
Q

cand apare galopul de sumatie

A

tahicardii
BAV gr I

38
Q

galop dublu= …
cand apare

A

ritm cvatriplu
bradicardii extreme

39
Q

Z3 si 4 sunt produse de vibratiile … din ….

A

ventriculare
din umplerea rapida ventriculara 3
din contractia A 4

40
Q

fenomenul lui Gallavardin

A

iradierea suflurilor de ejectie la nivelul inimii cand au vrecventa inalta

41
Q

caracteristici sufluri de ejectie sistolice

A

aspre
crescendo descrescendo

42
Q

suflul de ejectie sistolice se accentueaza in … cand ia nastere din inima dreapta

A

inspir

43
Q

cand apar suflurile de ejectie sistolica

A

obstructia caii de ejectie VS si VD
SA
CMH
SP

44
Q

suflul de regurfitare sistolica poate trece in diastola in … si este continuu sistolo diastolic in ….

A

I Mi
PCA

45
Q

suflurile sistolice de regurgitrare se accentueaza in

A

inspir cand iau nastere din inima dr
dupa efort

46
Q

caracteristici sufluri sistolice de regurgitrare

A

suieratoare
in platou

47
Q

caracteristici sufluri de umplere ventriculara

A

descrescendo
joase

48
Q

cand apar sufluri de umplere ventriculara

A

stenoze v AV

49
Q

suflurie de umplere ventriculata sunt accentuate in … dacaiau nastere din inima dr

A

inspir

50
Q

caracteristici sufluri de regurgitare sigmoidiana

A

descrescendo
ianlte
caracter aspirativ

51
Q

cand se accentueaza suflurile de regurgitrare sigmoidiana

A

IA:
expiratie
ortostatism
torace aplecat inainte
dupa ridicare brate
IP in inspiratie (suflu din inima dr)

52
Q

suflul Carey Coombs
unde
cand boala

A

apex
mezodiastola
valvulita Mi din RAA

53
Q

suflul Austin Flint

A

apex
mazodiastola
IA severa ce det SM functionala

54
Q

suful Graham Steel

A

zona pulmonara
proto/holodiastolic
SP sau HTP severa (IP functionala)
apare in SM, HTP

55
Q

clasificarea canadiana a anginei pectorale

A

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
Q

tromboflebita profunda simptome si semne

A

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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