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28 Cards in this Set
- Front
- Back
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treatment of prinzmetal angina |
CCB for spasm of smooth muscle |
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never give what type of drugs for prinzmetal angina and why |
BB, worsening spasm |
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stable angina treatment? |
lifestyle modifications (same as HTN recs) control HTN, DM, HLD ASA BB (only use CCB if BB CI) Nitroglycerin PRN
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m/c cause of bicuspid aortic valve |
rheumatic disease |
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inspiration increased (left or right) ventricular filling and (left or right sided) murmurs? |
right ventricular filling (& decreases left ventricular filling) right sided murmurs
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m/c organism in endocarditis m/c organism in endocarditis 2nd to IVDA |
strep viridans
staph aureus (2nd to IVDA)
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What is Duke's Criteria? |
Endocarditis
two major or 1 major & 3 minor or 5 minor |
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What are the major's and minors of Duke's Criteria? |
BE FEVEER Major: -two Positive BCx -Endocardial involvement on ECHO Minor: -fever, echo findings, vasculitis, evidences from micro/immuno (2), risk factors |
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Empirical Abx treatment for endocarditis until cultures come back? |
Ceftriaxone or Vanco PLUS Gentamycin |
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Abx prophylaxis given for those at high risk for endocarditis |
Amoxicillin |
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"Friction Rub" |
Pericarditis |
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Worse with laying supine, improved with sitting |
Pericarditis vs COPD |
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pleuritic CP |
pericarditis
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"Diffuse ST elevations & PR interval depressions" Think? |
pericarditis
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Diagnostic test to differentiate MI & Pericarditis? |
ECHO (no wall motion abnormalities on pericarditis and will have pericardial effusion) |
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Treatment for Pericarditis |
NSAIDS |
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only medication proven effective for PAD |
Cilostazol |
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What medication is CI in hypertrophic obstructive cardiomyopathy (HOCM), but not in HCM? |
diurectics |
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Treatment for HCM & HOCM? |
BB |
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What drugs decrease mortality in CHF? |
ACE/ARBS BB (carvedilol, bisoprolol, metoprolol succinate) |
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"Rib notching" classic finding in what disease?
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Classic XR finding in coartactation of aorta (COA) |
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Difference between hypertensive urgency vs emergency |
both BP >180/120 urgency does not involve end organ damagehW |
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What happens to patient with WPW if given Adenosine? |
V Fib/VTach |
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Nitrates given for pt with inferior MI may cause _________ |
severe sudden hypotension (b/c inferior wall dependent on pre-load) |
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What medication should give to giant cell arteritis even before biopsy diagnosis and why? |
Prednisone (to prevent optic nerve ischemia)
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a new murmur and fever. include ____ in ddx |
endocarditis |
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First test to order when suspect endocarditis |
blood cultures |
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What medication should you not give in Cocaine induced MI? |
do NOT GIVE BB (give benzodiazapine instead) |
