Week 5 Flashcards

1
Q

What is the acronym FROM JANE mean and what is it used for

A

Endocarditis

Fever
Roth Spots
Osler Nodes
Murmur
Janeway Lesion
Anemia
Nail Bed hemmorhage
Embolic Phenomina
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2
Q

Which ones are painful

Osler Nodes or Janeway Lesions

A

Osler nodes

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3
Q

What is modified Duke Criteria and what is it used for

A

Endocartitis

  • Pathological evidence
  • Imaging evidence
  • clinical signs
  • Historical elements
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4
Q

1 cause of subacute endocarditis

A

Strep Viridiens

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5
Q

1 mumur of rheumatic heart disease

A

Mitral stenosis

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6
Q

What is the Jones Criteria and what is it used for

A

Acute Rheumatic Fever

Major:

  • migratory polyarthritis
  • carditits or valvulitis
  • cns involvement
  • subcutaneous nodules
  • erythema marginatum

Minor:

  • arthralgia
  • fever
  • elevated acute phase reactants (ESR/CRP)
  • Prolonged PR interval
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7
Q

1 cause of acute pericarditis

A

Viral=herpes

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8
Q

Symptoms of pericarditis

A
  • substernal stabbing sharp pain
  • radiates to back and shoulders BL
  • Worse with inspiration, lying supine
  • better leaning forward
  • Tachycardia/fevr
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9
Q

s4 gallop is what

A

MI

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10
Q

St evelation in multiple leads suggest what

A

Pericarditits

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11
Q

What is becks triad

A

Distant heart sounds
JVD
hypotension

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12
Q

What are the signs of cardiac tamponade

A
Hypotension
Increase venous pressure
narrowed pulse pressure
pulsus paradoxus
becks triad
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13
Q

Most common valvular abdomality in theUS

A

MVP

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14
Q

Most common valvular abdnormality >65yo

A

Aortis stenosis

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15
Q

Squatting increases what murmurs

A

AS and most murmurs

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16
Q

Valsalva increases which murmur

A

MVP/Hcom and Aortic Regurg

17
Q

What murmur is systol, crescendo decresendo,

A

Aortic stenosis

18
Q

how to dx AS and what is significant value

A

TEE, 50mmHg

19
Q

What is the only drug approved by the FDA for anticoagulation after valve replacement

A

Warfarin

20
Q

What is the most common cause of Aortic stenosis

A

Aortic Sclerosis

21
Q

What murmur isblowing, descrendo, high pitched

A

Aortic Regurg

22
Q

What is an austin flint mumur

A

Severe AR with displaced PMI and low frequency rumble at the apex

23
Q

What confirms diagnosis of AR

A

ECHO, measure aortic root dilation

24
Q

Values that suggest Valve replacement in AR

A

Ejection fraction <55%

LV dimension <55mm