Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Cardiology > Tricuspid regurgitation > Flashcards

Tricuspid regurgitation Flashcards

1
Q

Define tricuspid regurgitation

A

Backflow of blood from right ventricle to right atrium during systole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Aetiology of tricuspid regurgitation

5 groups

A 
Congenital
Functional
Rheumatic heart disease
Infective endocarditis
Other
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Aetiology of tricuspid regurgitation - congenital

2

A

Ebstein’s anomaly (malpositioned tricuspid valve)

Cleft valve in osmium primum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Aetiology of tricuspid regurgitation - functional

2

A

Consequence of right ventricular dilatation (e.g. due to pulmonary hypertension)
Valve prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Aetiology of tricuspid regurgitation - other

4

A

Carcinoid syndrome
Trauma
Cirrhosis
Iatrogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Epidemiology of tricuspid regurgitation

general, type

A

Differs based on cause

Infective endocarditis is MOST COMMON cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Presenting symptoms of tricuspid regurgitation

9

A 
Fatigue
Breathlessness
Palpitations
Headaches 
Nausea
Anorexia
Epigastric pain made worse by exercising
Jaundice
Lower limb swelling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Signs of tricuspid regurgitation on physical examination - pulse

A

Irregularly irregular if AF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Signs of tricuspid regurgitation on physical examination - inspection
(3)

A

Raised JVP w/ giant V waves (which may oscillate to earlobes)
Caused by transmission of high right ventricular pressure into great veins
Giant A waves may also be present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Signs of tricuspid regurgitation on physical examination - palpation

A

Parasternal heave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Signs of tricuspid regurgitation on physical examination - auscultation
(2)

A

Pansystolic murmur
heard best at lower left sternal edge
louder on inspiration (Carvallo sign)
Loud P2 component of 2nd heart sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Signs of tricuspid regurgitation on physical examination - chest exam
(2)

A

Pleural effusion

Causes of pulmonary hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Signs of tricuspid regurgitation on physical examination - abdo exam
(2)

A 
Palpable liver (tender, smooth, pulsatile)
Ascites
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Signs of tricuspid regurgitation on physical examination - legs

A

Pitting oedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Investigations for tricuspid regurgitation

5 groups

A 
Bloods
ECG
CXR
Echocardiography
Right heart catheterisation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Investigations for tricuspid regurgitation - bloods

4

A

FBC
LFT
Cardiac enzymes
Blood cultures

17
Q

Investigations for tricuspid regurgitation - ECG

A

P pulmonale - due to right atrial hypertrophy

18
Q

Investigations for tricuspid regurgitation - CXR

A

Right sided enlargement of cardiac shadow

19
Q

Investigations for tricuspid regurgitation - echocardiography
(2)

A

Extent of regurgitation can be estimated using Doppler US

May show valve prolapse & right ventricular dilation

20
Q

Investigations for tricuspid regurgitation - right heart catheterisation

A

Rarely necessary but may be useful for assessing pulmonary artery pressure

Cardiology (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions