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27 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Maranon sign
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red, itchy patch over thyroid. Usu assd w/ graves disease
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Hard vs rubbery thyroid gland indicates
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hard is cancer, rubbery is hashimotos
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None
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Pemberton’s sign
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reversible SVC obstruction from substernal goiter rising into thoracic inlet, preventing venous return. Facial plethora, head congestion, dizziness, ,stuffiness.
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False + enlargement of thyroid gland caused by
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accentuated prominence of normal gland (long, thin neck) 2. Fat pad in obese ppl or young women
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None
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Modigliani syndrome
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long slender neck giving false positive
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When do you see pulsus paradoxus
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16-21 mm PE, RV infarct, RV failure, severe CHF, tension pneumothorax, constrictive pericarditis. >21mm 1. Cardiac tamponade, 2. Status asmaticus (COPD).
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Kussmaul’s sign. What is it, what causes it
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paradoxical increase in venous pulse with respiration. Obstruction to RV filling: RV infarct, constrictive pericarditis, tricuspid stenosis, restrictive cardiomyopathy (not tamponade)
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Pulsus alterans. What is it, what causes it?
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beat to beat variation in strength. LV dysfunction
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Split s2 over apex
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pulm htn
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S3 found in what conditions
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sudden deceleration of blood rushing in to fill a FLOPPY vent. chronic MR, PDA, VSD, heart failure, pulm HTN
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None
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S4 found in what condition
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acute MI, HTN, HOCM, AS (ventricle thicker)
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Physiologic vs Paradoxical split of S2
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physiologic: inspiration. Paradoxical: expiration. A2 after P2 (mechanical (HTN, AS (HOCM), coarctation of aorta) or electrical lesions (LBBB)
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Fixed split S2
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ASD
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When do you get big A or V wave
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A:pulm HTN, V:constrictive cardiomyopathy or TR
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corrigan’s pulse
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bounding pulse of AR
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causes of early systolic click
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bicuspid semilunar, dilated aortic root, ejecting lots of blood (bad AR), pulm HTN (assd w/ giant A wave)
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pallor vs cyanosis
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pallor: not enough o2, cyanosis: too much CO2
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None
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hypertrophic osteoarthropathy
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indicates neoplasm. Periostial bone formation w/ or w/o clubbing. Mostly shins. Painful.
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double apical, single carotid
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MR
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arterial pulse for AS: sub, valvular, supra
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subvalvular: HOCM) bifid. Valvular: parvus and tardus. Supravlavular: greater in R than L vessels
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AS marker of severity
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silent s2
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AS PMI
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thrill
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AS accompanying murmur
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HOCM –S4, silent S2
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Triple ripple
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PMI of hocm
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Company of dilated cardiomyopathy
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often assd w/ signs of pulm HTN (split S2, pulmonic regurgitation,
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bisfariens vs bifid pulse:
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AR, HOCM
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pallor vs cyanosis;
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pallor: not enough o2, cyanosis: too much CO2
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