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40 Cards in this Set
- Front
- Back
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definition of Myocarditis
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an inflammatory condition of the heart from multiple etiologies
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when does Myocarditis usually present?
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Usually days to weeks p viral URI
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MCC of Myocarditis
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Coxsackie virus but
Drugs/Toxins/ Radiation can also cause |
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Ventricular ectopy may be initial and only clinical finding of this
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Myocarditis
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test to confirm Myocarditis
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MRI
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Development of carditis a few weeks after an MI is this syndrome
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Dressler's Syndrome
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when you hear Chaga’s disease
what condition do you think of? |
Myocarditis
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Microbial infection of heart valves is called
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endocarditis
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High risk groups for acute endocarditis
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IV drug abusers
Post-open heart surgery Alcohol abusers Infected shunts/IV lines Common pathogens: staph, candida, aspergillus, coliform |
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2 forms of arteriosclerosis
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atherymatous:
Fatty streaks, fibrous plaque, complicated lesion non-atherymatous: arteriol-sclerosis, focal calcification of media |
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what happens in a "false" aortic aneurysm?
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only the adventitia bulges out; in a "true" all 3 layers are affected
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MC site of AAA
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just below the renal arteries
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type of aortic aneurysm that may occur as consequence of deceleration injury
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descending aortic aneurysm; tears at ligamentum arteriousus site; this is the 2nd most common
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this aortic aneurysm is secondary to Marfan’s, hypertension, aging
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Ascending Aortic Aneurysm
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MC aortic dissection site
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Ascending aorta
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what do you think when you see severe HTN in pt c shock
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aortic dissection until proven otherwise
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Causes of Aneurysms
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Connective tissue disorders
Marfan’s, Ehlers-Danlos Infection (Syphilis) , Arteritis (Takayasu), Trauma, Atherosclerosis |
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disease related to smoking: inflammation of the vessels, cold sensitivity and has a triaphasic color scheme disease related to smoking
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Buerger’s Disease
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type of vasospastic disorder that causes cold hypersensitivity
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Raynaud's phenomenon
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a disorder in which blood vessels are constricted
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Livedo reticularis
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What is the main cause of cardiac tamponade?
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Recent episode of pericarditis
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Beck's Triad symptoms associated with Tamponade
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JVD, hypotension, muffled heart sounds
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high risk groups for Acute Bacterial endocarditis
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Iv Drug users, s/p open heart surgery, alcoholics,, and infected IV lines
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high risk group for Subacute Bacterial Endocarditis
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Rheumatic heart disease or congenital heart disease, s/p dental procedures in pt with gingival disease
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Pt presentation for Acute Baterial Endocarditis
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ABRUPT ONSET, s/p infection(cellulitis or abscess), MOST COMMON is fever and chills, petechiae, embolic phenomenon ( retinal flame shaped hemorrhages and subcutaneous lesions( jane way, osler nodes, Roth spots
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pt presentation for subacute bacterial endocarditis
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Pts appear chronically ill
More insidious, with prolonged weakness, low fever, anorexia with wt. loss, neurological signs of paralysis, pulmonary emboli, and blindness, peripheral signs of small emboli |
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the Duke model is used to Dx this condition
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endocarditis
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MCC of Bacterial Endocarditis
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Strep, then Staph
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Dose to prophylax against SBE
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Amoxicillin 2gms orally 1 hour prior to procedure
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3/4 of all aneurysms are found here
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Abdominal aorta
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List of Aortic aneurysms from most common to least common
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Abdominal
Descending Ascending Arch |
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Intima disruption, blood enters the walls and seperates the layers creating a false lumen is called what?
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Aortic dissection
causes are HTN, Marfan's, medial necrosis |
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Pt presents with abrupt onset of severe ripping back pain. What do you think?
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Ascending aortic dissection
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Sudden chest and back pain between the scapula radiating to the front of the chest. What do you think of?
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Descending aortic aneurysm
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Abdominal Pain, hypotension, and a pulsatile abdominal mass is the triad for?
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AAA
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symptoms normally seen in a pt with aortic occlusion
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Claudication
buttock pain impotence |
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pulseless diseases; affects teens and 20 y/o; autoimmune panarteritis
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Takayasu's aortitis
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MCC of aortitis?
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Syphilis
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Name the 6 P's associated with acute ischemia
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Pain
pallor pulselessness parathesia poikilothermia paralysis |
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This commonly affects young females (teens and young women)
“triphasic” color response: white, blue, red |
Cold sensitivity of Raynaud's type
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