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18 Cards in this Set
- Front
- Back
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maternal factors leading to TOF |
Maternal rubella or viral illness Maternal rubella also leads to PDA |
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TOF features |
1) RVOTO 2) RVH 3) VSD 4) Overriding aorta |
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Wide split and fixed S2 |
ASD |
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Continuous machine-like murmur |
PDA (usually a problem in premies, can use indomethacin to close) |
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Systolic crescendo-decrescendo murmur with ejection click |
Aortic stenosis |
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Holosystolic murmur |
Mitral or Tricuspid regurg (depending on location) |
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Diastolic decrescendo blowing murmur |
Aortic regurg |
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Opening snap + presystolic murmur |
mitral stenosis |
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Cardiac lesions assc w/ Marfan's |
Mitral valve prolapse, aortic regurg Aortic dilation / aneurysm |
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Late systolic murmur w/ midsystolic click |
Mitral prolapse |
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Pulsus parvus et tardus |
Pulses weak compared to heart sounds Aortic stenosis |
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Dx of rheumatic fever |
~ 3 weeks after GAS infection 2 major (JONES) or 1 major + 1 minor -Joints - migratory polyarthritis -Carditis -Nodules (SQ) -Erythema marginatum (pink rash w/ serpiginous outline) -Syndenham's chorea Minor: arthralgia, fever, incr ESR or CRP, prolonged PR interval May also have and pain & epistaxis |
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Rheumatic fever Tx |
Penicillin G IM to acutely treat, then should ideally PPx for until teenager Aspirin for arthritis |
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Endocarditis - most common bugs |
Strep viridans (alpha-hemolytic) - 2/3s S. aureus |
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Pt w/ congenital heart lesion develops fever, myalgia, HA, SOB, anorexia, hematuria, +RF, incr ESR |
Bacterial endocarditis May also seen Osler (painful) or Janeway (painless) nodules or splinter hemorrhages |
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Prolonged fever, weight loss, SQ nodules, rash, resp congestion, decr platelets, WBC, +p-ANCA
Most concerning thing to evaluate for? Tx? |
Polyarteritis Nodosa - small & medium-sized muscular artery inflammation - coronary artery aneursym! - Tx: CS |
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Polyarthritis, fever, loss of radial pulses |
Takayasu's Arteritis (Giant cell arteritis of the aorta) Tx w/ CS |
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Hematuria, hemoptysis, cough, cardiac arrhythmias +c-ANCA
Tx |
Wegener's Granulomatosis CS alone may not work, cyclophosphamide or azathioprine recommended. |
