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110 Cards in this Set

  • Front
  • Back
location: angina
retrosternal, diffuse
location: not angina
localized, inc. left inframammary
radiation: angina
left arm, jaw, back
description: angina
aching, dull, pressing, squieezing, viselike
description: not angina
sharp, shooting, cutting
intensity: angina
mild to severe
intensity: not angina
f'ing excruciating
duration: angina
minutes
duration: not angina
anything but 'minutes'
precipitated by: angina
effort, emotion, eating, cold
precipitated by: not angina
respiration, posture, motion
relieved by: angina
rest, nitroglycerin
relieved by: not angina
nonspecific
IJV vs carotid pulse: palpation
not palpable vs palpable
IJV vs carotid pulse: wave forms
multiform vs single
IJV vs carotid pulse: quality
soft, undulating vs vigorous
IJV vs carotid pulse: change w/ pressure
wave forms obliterated vs no effect (light pressure on vessel above sternal end of clavicle)
IJV vs carotid pulse: change w/ inspiration
decreased vs no effect
IJV vs carotid pulse: change w/ sitting up
decreased vs no effect
IJV vs carotid pulse: change w/ valsalva
increased vs no effect
anacrotic pulse: description
small, slow rising, delayed pulse with notch/shoulder on ascending limb
anacrotic pulse: cause
aortic stenosis
waterhammer pulse: description
rapid and sudden systolic expansion
waterhammer pulse: cause
aortic regurgitation
bisferiens pulse: description
double peaked with midsystolic dip
bisferiens pulse: cause
aortic regurgitation; combined aortic stenosis and regurg; idiopathic hypertroph subaortic stenosis
alternans pulse: description
alternating amplitude of pulse pressure
alternans pulse: cause
CHF
paradoxical pulse: description
big drop in systolic blood pressure during inspiration
paradoxical pulse: cause
tamponade; constrictive pericarditis; COPD
supine: cardiac auscultation
S1 all areas; S2 all areas; systolic murmurs/sounds all areas
left lateral decubitus: cardiac auscultation
diastolic events at apex with bell of stethoscope
upright: cardiac auscultation
S1 all areas; S2 all areas; systolic murmurs/sounds all areas; diastolic murmurs/sounds all areas
upright, leaning forward: cardiac auscultation
diastolic events at base with diaphragm of stethoscope
aortic stenosis vs mitral regurgitation: location
aortic area vs apex
aortic stenosis vs mitral regurgitation: radiation
neck vs axilla
aortic stenosis vs mitral regurgitation: shape
diamond vs holosystolic
aortic stenosis vs mitral regurgitation: pitch
medium vs high
aortic stenosis vs mitral regurgitation: quality
harsh vs blowing
2 most common systolic murmurs: ?
aortic stenosis and mitral regurgitation
aortic stenosis: decreased A
yes
aortic stenosis: ejection click
yes
aortic stenosis: S4
yes
aortic stenosis: Narrow pulse pressure
yes
aortic stenosis: slow rising and delayed pulse
yes
aortic stenosis: Decreased S1
no
aortic stenosis: S3
no
aortic stenosis: Laterally displaced diffuse PMI
no
mitral regurgitation: decreased A
no
mitral regurgitation: ejection click
no
mitral regurgitation: S4
no
mitral regurgitation: Narrow pulse pressure
no
mitral regurgitation: slow rising and delayed pulse
no
mitral regurgitation: Decreased S1
yes
mitral regurgitation: S3
yes
mitral regurgitation: Laterally displaced diffuse PMI
yes
systolic or diastolic: pulmonic stenosis
systolic
systolic or diastolic: tricuspid regurgitation
systolic
systolic or diastolic: ventricular septal defect
systolic
systolic or diastolic: venous hum
systolic
systolic or diastolic: innocent murmur
systolic
location: pulmonic stenosis
pulmonic area
location: tricuspid regurgitation
tricuspid area
location: ventricular septal defect
tricuspid area
location: venous hum
above clavicle
location: innocent murmur
widespread (usually between apex and left lower sternal border)
radiation: pulmonic stenosis
neck
radiation: tricuspid regurgitation
right of sternum
radiation: ventricular septal defect
right of sternum
radiation: venous hum
right neck
radiation: innocent murmur
minimal
shape: pulmonic stenosis
diamond
shape: tricuspid regurgitation
holosystolic
shape: ventricular septal defect
holosystolic
shape: venous hum
continuous
shape: innocent murmur
diamond
pitch: pulmonic stenosis
medium
pitch: tricuspid regurgitation
high
pitch: ventricular septal defect
high
pitch: venous hum
high
pitch: innocent murmur
medium
quality: pulmonic stenosis
harsh
quality: tricuspid regurgitation
blowing
quality: ventricular septal defect
harsh
quality: venous hum
roaring; hhumming
quality: innocent murmur
twanging; vibratory
2 commonest diastolic murmurs: ?
mitral stenosis and aortic regurgitation
mitral stenosis vs aortic regurgitation: location
apex vs aortic area
mitral stenosis vs aortic regurgitation: radiation
both NO
mitral stenosis vs aortic regurgitation: shape
both decrescendo
mitral stenosis vs aortic regurgitation: pitch
low vs high
mitral stenosis vs aortic regurgitation: quality
rumbling vs blowing
mitral stenosis: increased S1
associated
mitral stenosis: Opening snap
associated
mitral stenosis: RV rock (right ventricular impulse at lower left sternal border)
associated
mitral stenosis: S3
not associated
mitral stenosis: Laterally displaced PMI
not associated
mitral stenosis: wide pulse pressure
not associated
mitral stenosis: bounding pulses
not associated
mitral stenosis: austin flint murmur
not associated
mitral stenosis: systolic ejection murmur
not associated
aortic regurgitation: increased S1
not associated
aortic regurgitation: Opening snap
not associated
aortic regurgitation: RV rock (right ventricular impulse at lower left sternal border)
not associated
aortic regurgitation: S3
associated
aortic regurgitation: Laterally displaced PMI
associated
aortic regurgitation: wide pulse pressure
associated
aortic regurgitation: bounding pulses
associated
aortic regurgitation: austin flint murmur
associated
aortic regurgitation: systolic ejection murmur
associated