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20 Cards in this Set

  • Front
  • Back
MCC of mitral stenosis
rheumatic fever
Diastolic apical rumble
Mitral stenosis(with opening snap)
Aortic Regurgitation
Mainstays of treatment of rheumatic fever
PCN - if infection still current (2nd line EES)
NSAIDs/Steroids - to reduce inflammatory response
holosystolic murmor radiating to axilla
Mitral regurgitation
Causes of < stroke volume
Hypovolemia
Heart Failure
Obstruction: AS, MS
Diastolic rumble often confused with MS
Tricuspic stenosis
When to refer for surgery for aortic anuerysm?
greater than 5 cm
midsystolic crescendo-decrescendo murmur at 2nd R ICS, radiates to carotids and apex
Aortic Stenosis
What does a systolic "cv" wave suggest?
Tricuspid regurgitation
What are the treatments of an aortic dissection?
#1 Priority: BP control
BB (2nd line CCB)
Surgery
Nitroprusside can be added prn
what sounds are heard with pulmonary HTN?
Ejection sound, Loud P2 at upper left sternal border.
Due to dilated pulm artery and pulm HTN bringing back the valve forcefully
Murmor that gets louder with inspiration
Tricuspid stenosis
Murmor with wide pulse pressure
Aortic regurgitation
Inspiratory increase in sounds suggest?
Right heart origin: < intrathoracic pressure, > venous return
What are the sxs/signs of restrictive cardiomyopathy?
Think Rt sided heart failure:
dyspnea, PND, fatigue, edema, ascites, incr JVD, S4 + MR/TR
diastolic low apical rumble
mitral stenosis
Continuous machinery murmor
PDA
Harsh holosystolic @ LLSB
VSD
Single loud S2
Tetrology/Transposition
Widely split, fixed S2 & systolic ejection murmor
ASD