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27 Cards in this Set

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  • Back
  • 3rd side (hint)
Maranon sign
red, itchy patch over thyroid. Usu assd w/ graves disease
Hard vs rubbery thyroid gland indicates
hard is cancer, rubbery is hashimotos
Pemberton’s sign
reversible SVC obstruction from substernal goiter rising into thoracic inlet, preventing venous return. Facial plethora, head congestion, dizziness, ,stuffiness.
False + enlargement of thyroid gland caused by
accentuated prominence of normal gland (long, thin neck) 2. Fat pad in obese ppl or young women
Modigliani syndrome
long slender neck giving false positive
When do you see pulsus paradoxus
16-21 mm PE, RV infarct, RV failure, severe CHF, tension pneumothorax, constrictive pericarditis. >21mm 1. Cardiac tamponade, 2. Status asmaticus (COPD).
Kussmaul’s sign. What is it, what causes it
paradoxical increase in venous pulse with respiration. Obstruction to RV filling: RV infarct, constrictive pericarditis, tricuspid stenosis, restrictive cardiomyopathy (not tamponade)
Pulsus alterans. What is it, what causes it?
beat to beat variation in strength. LV dysfunction
Split s2 over apex
pulm htn
S3 found in what conditions
sudden deceleration of blood rushing in to fill a FLOPPY vent. chronic MR, PDA, VSD, heart failure, pulm HTN
S4 found in what condition
acute MI, HTN, HOCM, AS (ventricle thicker)
Physiologic vs Paradoxical split of S2
physiologic: inspiration. Paradoxical: expiration. A2 after P2 (mechanical (HTN, AS (HOCM), coarctation of aorta) or electrical lesions (LBBB)
Fixed split S2
When do you get big A or V wave
A:pulm HTN, V:constrictive cardiomyopathy or TR
corrigan’s pulse
bounding pulse of AR
causes of early systolic click
bicuspid semilunar, dilated aortic root, ejecting lots of blood (bad AR), pulm HTN (assd w/ giant A wave)
pallor vs cyanosis
pallor: not enough o2, cyanosis: too much CO2
hypertrophic osteoarthropathy
indicates neoplasm. Periostial bone formation w/ or w/o clubbing. Mostly shins. Painful.
double apical, single carotid
arterial pulse for AS: sub, valvular, supra
subvalvular: HOCM) bifid. Valvular: parvus and tardus. Supravlavular: greater in R than L vessels
AS marker of severity
silent s2
AS accompanying murmur
HOCM –S4, silent S2
Triple ripple
PMI of hocm
Company of dilated cardiomyopathy
often assd w/ signs of pulm HTN (split S2, pulmonic regurgitation,
bisfariens vs bifid pulse:
pallor vs cyanosis;
pallor: not enough o2, cyanosis: too much CO2