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29 Cards in this Set
- Front
- Back
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What are the Three Ts of R to L shunt?
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tetralogy of fallot, transposition of the great vessels, truncus arteriosus
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What is the most common cause of early cyanosis?
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tetralogy of fallot
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What do children do to compensate for R-L shunts?
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squat
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Why are babies cyanotic with R-L shunts?
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diminished pul bld flow, poorly oxygenated blood reaches systemic circulation
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What is truncus arteriosis?
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failure of the tuncus arteriosus to separate into two great vessels
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What are the L-R shunts?
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VSD, ASD, PDA
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What is the most common congenital cardiac anomaly?
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VSD
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What causes a loud S1, whid, fixed split S2?
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ASD
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What is used to close patent ductus arteriosis?
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indomethacin
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When do L-R shunts present?
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later in childhood or adult life
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What do you hear with a patent ductus arteriosis?
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continuous harsh murmur
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What is Eisenmerger's Syndrome?
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reserval of the L-R shunt to a R-L because of progressive pul HTN
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What does Eisenmenger's Syndrome cause?
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clubbing and polycythemia because of late cyanosis
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What gives you a boot shaped heart? Why?
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tetralogy of fallot, right ventricular hypertrophy
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What are the defects in tetralogy of fallot?
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PROVe--Pul Stenosis, RVH, Overriding aorta, VSD
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What causes tetralogy of fallot?
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anterosuperior displacement of the infundibular spetum
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Why does a patient squat with Tetralogy of Fallot?
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to compress the femoral a and increas the pressure
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What is pericarditis?
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inflammation of the pericardium which may result in cardiac tamponade, pericardial effusion, precordial and epigastric pain
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What can you hear with pericarditis?
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pericardial murmur or pericardial friction rub
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What are the symptoms of pericarditis?
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dysphagia, dyspnea, couugh, inspiratory chest pain, paradoxic pulse
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Where is the transverse sinus?
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lying psoterior to ascending aorta and pul trunk, ant to SVC, superior to L atrium and pul veins
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What causes serous pericarditis?
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SLE, RA, infection, uremia
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What causes fibrinous pericarditis?
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Uremia, MI, Rheumatic fever
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What causes hemorrhagic pericaditis?
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TB, Malgnancy
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What will the EKG changes of pericarditis be?
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diffuse ST elevations in all leads
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Which type of pericarditis has protein rich fluid?
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serous
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Which type of pericarditis has fibrin rich fluid?
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fibrinous
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Which type of pericarditis has cloudy fluid?
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purulent, suppurative
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What causes suppurative pericarditis?
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bacterial infection
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