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13 Cards in this Set

  • Front
  • Back
When it comes to valvular disorders, what 2 valves are the most common? If the valve has a rheumatic or calcificative etiology in origin what are the most likely valve effected?
Mitral and aortic
Rheumatic: mitral
Calcification: aortic
Which valvular disorder results in a loud S1 and a sound opening snap?
Mitral stenosis.
In mitral stenosis, what is the treatment of choice and what type of therapy do we need to to consider due to preponderance to atrial fib?
Treatment of choice: valve replacement. Need to consider anticoagulant therapy due to atrial fib and tendency for clot to form.
Other treatments include commissurotomy or balloon mitral replacement.
What is the #1 etiology of mitral stenosis?
Rheumatic fever.
What is the classic mitral regurg murmur sound like?
Holosystolic mumur that radiates into left axilla from lateral decubitus position. There also is a prominent S3.
In nondental prophylaxis for a valvular disorder, what should be the treatment of choice?- or if allergic...
Amp/gent; if allergic vanco

In dental proceding-
If NO allergy:
Amox: Adults 2 g, children 50 mg/kg orally one hour before procedure
If Allergic to PCN go: Clindamycin, Cephalexin or Cefadroxil, or AZ or Clarithromycin.
What is the 3 over 6 crescendo/decrescendo murmur that radiates up into patient's neck? What are the sympotms patients experience?
Mitral stenosis
Symptoms: angina, syncope, dysnea (classic triad) along with faint pulses and fatigue, pulmonary congestion.
What is the etiology for aortic stenosis if the patient is "younger"- "older"?
Younger- rheumatic fever
Older- calcification of valve
What is the only treatment option for aortic stenosis once the patient becomes symptomatic?
If, when recording a patient's bp there is a dramatic difference between the diastolic and systolic pressure, what valvular disorder are you suspecting?
What is another name for this condition AND another major symptom?
Aortic regurg./Austin-Flint murmur
Bounding pulse-"waterhammer"
A patient is seeing you for palpatations. When taking that history, might about that it might tip you off to a possible diagnosis being aortic regurg?
A long history of palpations that the patient has just tolerated over the years.
Which type of valvular replacement has an anticoagulant as a part of the therapy-mechanical or bioprosthetic? Which of the two valvular replacements is typically tried first?
Mechanical generally needs anticoagulant therapy.
Bioprosthetic is typically tried first.
Which of the two valvular replacements, mechanical or bioprosthetic, has a high failure rate BUT a lower complication rate?
Biosprosthetic= higher failure rate BUT lower complication rate. FYI: Tried first and does not typically take anticoagulants.