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5 Cards in this Set
- Front
- Back
Ebstien's Anomaly
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(Rare) tricuspid valve displaced into RV cavity, resulting in RV incorporation into RA.
PE: severe cyanosis, CHF in 1st few days. Wide split S2, extreme cardiomegally, dec pulm markings. Delta waves ass WDW Tx: PGE inc pulm flow. propranolol to suppress SVT. Digoxin/diuretics for CHF. |
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Wolf-Parkinson-White Syn
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extra conduction pathway, electrical signal arriving to ventricles too soon "pre-excitation syndromes."
PE: tachycardia epi, chest palpitations, fainting or, rarely, cardiac arrest. |
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Myocarditis
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myocardial damage (coxsackie B virus or adenovirus)
PE(range)/Echo: Asym ST dep & T inversion. CHF w/ fever, fatigue, CP, tachy, S3 Gallop. Dilated Vent and atria. TX: supportive. IVIG to minize myocaridal damage |
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Acute Rheumatic Fever
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3-4wks post Strep pharyngitis.
JONES: Major: PolyArthrigia, Carditis, Nodules, Erythema Marginatum, Sydenham's Chorea. Minor: fever, arthralgia, C-rec pro, ESR, PR prolongation. TX: Prophylatic Penicillin |
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Hypertrophic Cardiomyopathy
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AD ventricular septum thickens causing LV outflow obstruction.
PE: DOE, CP, syncope. ECG: Left axis deviation, LV hypertrophy, ECHO is DX. TX: negative inotropes, Ca blcker, B-adrenergics, no sports. |