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23 Cards in this Set
- Front
- Back
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What is the most common cardiac tumor in adults?
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myxoma (90%)
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Where do myxomas normally form?
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LA
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What is the most common cardiac tumor in children?
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rhabdomyomas
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What is carney syndrome?
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a herediatry cardiac myxoma syndrome due to PRKAI-1 on chromo 17, cuases multiple and extracaridac myxoma, spotting pigmentation, and endocrine overactivity
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What are the common sites of orgin for metastatic cardiac tumors?
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lungs, breast, melanomas, leukemia, lymphomas
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What does the integrity of the AV valves depend on?
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annulus, papillary muscle, chordae tendinea, vent wall
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What does the semilunar valve integrity depend on?
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movement and attachment
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What could a bicuspid aortic valve lead to?
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aortic stenosis 50-60yo, predisposition to infective endocarditis
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When does calcification of a nl Aortic valve happen?
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70-80yo
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What can mitral annular calcification cause?
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place for infection to seed
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What is myxomatous degeneration of the MV?
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MV prolapse
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What is heard on exam of MVP?
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click
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What can be the symptoms of MVP?
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chest pain, dyspnea, fatigue, psych complaints
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What are the serious complications of MVP?
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infective endocarditis, MV insufficiency, embolis of leaflet thrombus, arrhythmias
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What causes acute infective endocarditis?
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staph
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What causes subacute infective endocarditis?
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alpha-hemolytic strep
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What are vegetation made of?
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thrombotic debris, fibrin, inflam cells, microorganisms
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What are your risk factors for endocarditis?
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preexisitng valvular disease, prosthetic valves, immune deficiency, DM, IDU, alcholism
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What are the complications of endocarditis?
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valvular insufficiency, abscess formation, paravalvular leak, embolic complications
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What can you see on physical exam of endocarditis when it causes microemboli?
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splinter hemorrhages, roth spots, janeway lesions, osler nodes
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What are osler nodes?
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painful, SQ nodule in fingers and toes in endocarditis
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What are janeway lesions?
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macules on palms and soles of feet
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What are roth spots?
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spots on macula
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