triggers - chest pain Flashcards
pulsus paradoxus is seen when
cardiac tamponade
difficult to describe and localize is what type of nerve fiber
visceral (discomfort, aching, radiating)
(somatic is specific, sharp, stinging, non radiating)
what is becks triad and what is it for
hypotension w narrow PP, JVD, muffled heart sounds.
cardiac tamponade
lower voltage QRS with electrical alternans on EKG
cardiac tamponade
what is wells score for
PE
what is PERC criteria for
PE
what is the geneva score for
PE
severe tearing pain radiating to interscapular area of back
aortic dissection
tall slender males who smoke are at risk for what
spontaneous pneumothorax
also risks: COPD and asthma
what is the TIMI score for
AMI
which cardiomyopathies have normal ejection fraction?
HCM (RCM too? idk)
which cardiomyopathy is hereditary
HCM
characterized by asymmetric LVH or RVH resulting in decreased compliance of LV, impaired diastolic function and filling
HCM
systolic ejection murmur enhanced by valsalva and standing
made quieter with squatting
HCM
long term treatment is atenolol
HCM
characterized by restricted ventricular filling with diastolic dysfunction
RCM
what is treated with diuretics, digoxin, ACEis and BB
DCM
Echo showing large pericardial effusion with RA or RV diastolic collapse
cardiac tamponade
a hoarse voice or Horners syndrome can be assocaited with what diagnosis
aortic dissection
when is unasyn or zosyn (Clinda + cipro) used in this lecture
abx for management of esophageal rupture
chest pain worsened by neck flexion with subcutaneous emphysema on PE
esophageal rupture
emergency Echo indicated for what
cardiac tamponade
Aortic dissection only if CTA not available
when do you use fenoldopam?
in HTN emergency patients with kidney insufficiency
HCTZ is used in treatment of HTN urgency is what population
HTN urgency w no prior hx of HTN
worse with swallowing, PE shows hammans crunch (mediastinal crunch)
esophageal rupture
when would you see pneumomediastinum or pneumoperitoneum
esophageal rupture
does cardiac tamponade cause diastolic or systolic dusfunction
diastolic
EKG shows diffuse STE with lower voltage QRS and electrical alternans
cardiac tamponade secondary to pericaditis
Kussmaul’s sign presents when?
Constrictive pericarditis and RCM
