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32 Cards in this Set
- Front
- Back
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Pulsus Magnus
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Bounding
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Pulsus Parvus
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weak or thready
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Pulsus Alterans
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alternates in amplitude. Left Vent Failure
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Pulsus Bisferiens
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2 strong systolic peaks separated by mid systolic dip
- aortic regurgitation - aortic stenosis |
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Pulsus Paradoxus
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decreased amplitude on inspiration, increased with expiration
- Emphysema - pericardial effusion |
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Water hammer pulse
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jerky pulse that increases and then collapses
- aortic insufficiency |
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Thrills
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vibration produced by turbulent bloos flow
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S1 =
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closure of AV valves (mitral and tricuspid)
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S2 =
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closure in semilunar valve (pulmonic and aortic)
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S3 =
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normal in children and athletes. Early sign of CHF
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S4 =
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related to stiffness of ventricles
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Stenosis
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Low pitched. Best heard with bell
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Regurgitation
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High Pitched. Best heard with the diaphragm
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Heart murmurs which occur in diastole
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ARMS PRTS
Aortic = regurgitation Mitral = Stenosis Pulmonic = regurgitation Tricuspid = Stenosis |
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Patent Ductus Arteiosus
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failure of shunt to close between aorta and left pulmonary artery
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Tetralogy of Fallot
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DRIP
D- dextraposition of aorta R- right vent hypertrophy I- interventricular septal defect P - pulmonic stenosis --> only heard in systole |
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Coarctation of the Aorta
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constriction of the descending aorta
Higher BP in the UE than LE |
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Coarctation of the Aorta associated with
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Marfan's syndrome
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Subclavian steal syndrome
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Subclavian steals blood from the vertebral artery
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M/C cause of Left sided heart failure
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Hypertension
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2nd m/c cause of left sided hert failure
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aortic stenosis
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Early signs of Left sided heart failure
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shortness of breath (first sign)
--> relieved in the upright position pulmonary edema |
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M/C cause of Right sided heart failure
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Left sided heart failure
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m/c cause of mitral stenosis
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Rheumatic fever
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Right Sided heart failure signs
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stasis dermatitis
pitting edema portal hypertension |
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Descending aortic dissection associated with
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hypertension/arteiosclerosis
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Ascending aortic dissection associated with
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Marfan's
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Printzmetal angina
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atypical angina. comes on with rest
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Primary heart block on ECG
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Increased PR interval - prolonged AV nodal delay
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Secondary heart block on ECG
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2 P waves before QRS
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Complete heart block on ECG
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no QRS
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Acute heart failure (MI) on ECG
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ST segment is enlarged or inverted
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