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14 Cards in this Set
- Front
- Back
Aortic stenosis... classic signs/symptoms. |
hemoptysis (bleeding from lungs) acute rheumatic fever, growing pains, rashes (erythema marginatum), skin nodules....dyspnea, orthopnea, PND. |
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what would you see on an ECG in aortic stenosis, murmur you would see? |
loud S1, also loud opening snap right after S2. prolonged P-R since ventricle taking longer to fill, |
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what happens to valve in aortic stenosis? LA? RV? consequences |
gets stiff and calcified...dont hear sound if too calcifies. LA gets dilated --> arrhytmias |
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med treatment for aortic stenosis?
surgical? |
diuretics, beta blockers (decs HR so diastole filling time longer), anti coagulants due to Afib which results in more sitting blood |
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mitral regurg. problem could be primary or secondary..describe them |
primary --> problem with valve: could be leaflets, chordate tenidane |
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what is a prolapsed leaflet? cause? flil leaflet and cause? |
prolapse- bends b/w to atrium and is caused by stretched cords (cords were ripped and replaced by soft tissue) --> MC |
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DO YOU NEED TO TREAT MV PROLAPSE? |
NO XRAYS AND STUFF USUALLY COME BACK NORMAL, DONT DO ANYTHING ABOUT IT UNLESS U GET SYMPTOMS |
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PRIMARY MV REGURG PROLAPSE CAUSES? |
MC TYPE. DUE TO STRETCHED CHORDATE TENDINAE OR LOOSE LEAFLETS |
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WHAT HAPPENS TO LV IN MITRAL REGURG? |
MUST ACCOMODATE HIGHER DIASTOLIC FILLING SINCE LA WILL GET STRETCHED AND FILL MORE |
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U HEAR S3 OR S4 IN MITRAL REGURG? |
S3- YES-- FROM LTRYING TO FILL LV with increased volumes |
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CHRONIC WHAT HAPPENS TO LA AND LEFT VENT IN MR??? |
BOTH DILATE, DONT GET STIFFER, LA and LV accommodates via volume!! |
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what is virtually diagnostic of mv prolapse? |
mid systolic click then murmur |
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Mitral REGURGITATION (FULL ON) gives what murmur> |
holo pan systolic --> since MV should be closed but leak all of systole |
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should you do surgery? when? |
yes EARLY before LV gets too bad...it slowly dies be/c cytokines that help increase volume also eventually kill it |