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15 Cards in this Set
- Front
- Back
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When looking at a JVP tracing, what does the "a" wave signify?
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atrial contraction
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When looking at a JVP tracing, what does the "c" wave signify?
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RV contraction (tricupsid valve bulging into the atrium)
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When looking at a JVP tracing, what does the "v" wave signify?
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increase in atrial pressure due to filling against closed tricuspid valve
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What murmurs are heard in the right sternal border?
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aortic area:
systolic murmurs - aortic stenosis flow murmur aortic valve sclerosis |
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What murmurs are heard in the left 2 or 3 intercostal space?
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pulmonic area:
systolic ejection murmur - pulmonic stenosis flow murmur |
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What murmurs are heard in the left 4 or 5 intercostal space?
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tricuspid area:
pansystolic murmur - tricuspid regurgitation ventricular septal defect Diastolic murmur - tricupsid stenosis atrial septal defect |
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What murmurs are best heard at the left lateral 6th intercostal space?
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mitral area:
systolic murmur - mitral regurgitation diastolic murmur - mitral stenosis |
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What murmurs are heard at the left sternal border?
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diastolic murmur -
aortic regurgitation pulmonic regurgitation systolic murmur - hypertrophic cardiomyopathy |
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What position is a mitral regurgitation murmur heard best?
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left lateral decubitious
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What is the quality and timing of a VSD murmur?
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holosystolic, harsh-sounding murmur
Uniform |
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Midsytolic Click?
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Mitral prolapse
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Opening Snap?
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Mitral Stenosis
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Signs of LVF?
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dyspnea on exertion - failure of LV output to increase during exercise
cardiac dilation - greater ventriculr end-diastolic volume pulmonary edema, paroxysmal nocturnal dyspnea - left ventricular failure leads to increases in pulmonary venous pressure leading to pulmonary venous distention and transudation of fluid orthopnea - increased venous resturn in supine position exacerbates pulmonary vascular congestion |
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What does the presence of hemosiderin-laden macropphages in lungs signify?
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microhemorrhages from increased pulmonary capillary pressure due to LVF
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What are the signs of R sided heart failure?
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hepatomegaly
ankle, sacral edema jugular venous distention |
