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25 Cards in this Set
- Front
- Back
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Define prolapse
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systolic movement of one or both MV leaflets into LA
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MVP linked to............
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connective tissue disorders - sometimes progressive
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MVP more common in.........
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young women
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MVP associated with..........
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marfan
ehlers-danlos lupus WPW secundum ADS's |
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May be caused by........
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myxomatous degeneration
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__________% will have _______ valve ______
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23%
TV prolapse |
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What are physical signs of MVP? (six)
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usually asympotomatic
maybe fatigue dyspnea anxiety atypical chest pain palpitations |
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What murmur is associated with MVP?
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mid-systolic click with or w/out systolic murmur
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M-mode may show.....
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thickened leaflets with mid to late or holosystolic posterior movement
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How much displacement in M-mode qualifies as prolapse?
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2-3 mm from a line connecting C and D points
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What is the 2D criteria for prolapse?
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When one or both leaflets breaks the plane of the mitral annulus in PLAX during systole
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In which view should you NOT diagnose MVP?
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A4, but if shown a pic with an obvious MVP, call it on the test
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Do NOT diagnose MVP in the presence of what and why?
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large pericardial effusion
because effusion makes the heart swing and may show false prolapse |
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What two things mave provoke MVP?
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valsalva maneuver
amyl nitrite |
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Marfan syndrome is.........
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congenital connective tissue disease causing MVP and aortic dilatation
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In Marfan, why does aortic dissection and MVP occur?
a) lack of collagen b) increased systolic BP c) aortic arteritis d) decreased fibrillin |
d) decreased fibrillin
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Four physical signs in Marfan..........
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thin and tall
joint hyperextensibility high arched palate skeletal abnormalities |
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Five secondary findings in Marfan.......
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optic lense dislocation
aortic dilatation/dissection AR MVP MR |
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What is another connective tissue disease similar to Marfan?
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Ehlers-Danlos
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Aortic dissection types (two)
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Type A proximal
Type B distal |
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In Type A, there are what types?
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DeBakey Type I (from root to DAO)
Type II (from root to first branch) |
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In Type B, there are what types?
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Type III (from last branch to DAO)
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What are survival rates for Type A?
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medical 26%
surgical 70% |
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What are survival rates for Type B?
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medical 81%
surgical 50% |
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what does this show
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mvp
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