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12 Cards in this Set
- Front
- Back
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Variations between really high and normal blood pressures depending on position of body or exercise?
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Pheochromocytoma- They may have flashing, headaches, palpitations caused by epinephrine secretion. A norepi secreting pheochromocytoma would cause more asymptomatic htn
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Carey Coombs murmur
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Rumbling mid-diastolic murmur heard during an acute episode of rheumatic fever.
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you hear an Opening Snap
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Mitral Stenosis
- will also have an accentuated S1 sound |
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You hear a mid-systolic click
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Mitral valve prolapse
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You see vegetations on a valve
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Think bacterial endocarditis. It could be NBTE (usually from adenocarcinoma)
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What tests point to heart failure
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Hepatojugular reflex, Neck vein distension, hepatomegaly, peripheral edema
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What does S4 mean?
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there is less compliance of left ventricle. The LA has to contract to push blood into LV because of higher diastolic pressure there.
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Crescendo-decrescendo murmur in systole
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Aortic stenosis
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Short diastolic murmur
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could be aortic regurgitation
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Single second heart sound
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could have a calcified aortic valve so you are not hearing it close. you are only hearing P2
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Midsystolic click followed by crescendo-decrescendo murmur
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Mitral valve prolapse
-often there is a history of palpitations -prolapse of anterior leaflet and murmur is transmitted to axilla -prolapse of posterior leaflet and murmur is transmitted to the middle of the precordium -"P" mitrale is amplified -Can die suddenly -Most common consequence is mitral regurg |
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Known IV drug user with shortness of breath and fever
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Think right-sided bacterial endocarditis
-very acute endocarditis think staph aureus. it can attack and destroy valve quickly -hemorrhage under nails is common in endocarditis |
