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29 Cards in this Set

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