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62 Cards in this Set

  • Front
  • Back

Inspiration and Heart sounds

Increased intensity of right Heart sounds

expiration and Heart sounds

increased intensity of left heart sounsd

Hand grip

Increased systemic vascular resistance


increases MR, AR, VSD, MVP murmur


decreaes HCM, AS

Valsalva

Decreases venous return


decreases intensity of most murmurs


increases HCM and MVP

Rapid squat

Increase venous return


initially increases preload


after long period increases afterload



decreases murmurr of MVP and HCM

Causes of Hyaline sclerosis

diabetes and benign hypertension

modifable risks of Atherosclerosis

hypertension


hypercholesterolemia


Smoking


Diabetes

Polyaterisoiss key facts

string of pearls


fibronoid necrosis


nodular

Fixed s2 split

ASD

holosystolic murmur in left sternal border


VSD

contraction alkalosis

angiotensin II

paraoxysmal nocturnal dyspnea cause

SOB awakening from sleep


increased venous return caused by redistribution of blood, reabsorption of edema from LHF

bulbus cordis forms

smooth outlfow tracts of left and right ventricles

svc formed from

right anteior cardial vein and right common cardial veni

cause of closure of foramen ovale

increase in left atrial pressure

Paradoxical emboli seen in

ASD and patent foramen ovale

endocardial cushions of outflow tract form

aortic pulomnary valves

mitral/tricupside dervied from

fused endocardial cushions of AV canal

Ebstein anomaly

Hypoplastic RV due to displaced triscupid value.

PO2 in umblical vein

30 mmHg (80% sat)

ductus venosus

bypass liver/umbilical vein into IVC

foramen ovale

By pass heart IVC to aorta

ductus arteroiosus

bypass lungs


mian pulomnary artery to desceding aorta


(high pulomnary artery resistence)

falciform ligament contains

umbilical vein aka ligamentum teres hepatis

left atrium enlargement casues

dysphagia and horseness (compression of left recurrent laryngeal nerve)

Increased pulse pressure

sp- dp: hyperthyroidism


aortic regurgitiation


aorti stiffing (isosystolic hypertension in eldersly


chronic obstructive apnea( sympathetic tone increase)


Transient in Exercise

decreased pulse pressure in

aortid csetnosis


cardiogenic shock


cardiac tamponande


advanced heart failure

no x wave seen in

trisccuspid regrugitiation

no a wave

a fib

dro pof intrathroacic pressure during inspriation causes

increased venous return

fixed split

asd

paradoxical split

delay aortic value closure


aortic stenosis


left benundle branch block

inspriation

increases right heart osunds

hand grip increases

increases afterload


increases intesity of MR, AR, VSD murmurs


hand grip decreases

hcm

hand grip changes

MVP: later onset of click

valsalva stuadning up caues

drop in preload


valsalva noises decreases

decreased intesnity of most murmurs

valsalva increases what

increased intesnity of HCM


MVP : earlier onset of lclick


Rapid squat caues increase venous return and increased preload causing

decreased hcm


increased as murmur


mvp later onset

hcm murmur

harsh ejection systolic murmur with s4

pharygenal arches

1 maxillary


2 stapedial


3 common carotids


4L Arota


4R proximal subclavian


6-Ductus arteriosus and part of pulmonary trunk


descending aorta comes from

paried rosal aortae that fuse

left umblical vein remains to form

ligamentum teres hepatis

naterior cardial veins

internal jugular vein and SVC

posterior cardial vein

ivc


common iliac, azygous


renal veins


right anteiror cardinal and right common cardial vein

SVC

conotruncal abnormalities

tetralogy of fallot


transposoiton of great vessels


Persistent truncus arteriosus

A fib aka

holiday heart

a fib treatment

antithrobmoic therapy (warfarin), rate controler (beta blocker or ca channnel blocker), digoxin, rhythemcontrol in IC or III, and or cardiovert

a flutter pattern

4 to 1 saw thooth pattern

cushing reaction

Hypertension, brandycardia, respiratory depression



elevated intracranail pressure constricts arterioles


cerebral ischemia


increase pco2 and drop in ph


central sympathetic increase in pefusion pressure (hypertension)


increase stretch


prefierlal reflex baroreceptor induced bradycardia

diabetic mother's infant

transposition of great vessels

turner syndrome

coarctaiton of aorta pre ductal and biscupsid aortic valvve

unstable angina/nstemi tx

anticoag heparin


antiplatement asa and clopidogrel


beta blockers


ace inhibitors


statins


NO and morphine symptom contorl


stemi tx

PCI +


anticoag heparin


antiplatement asa and clopidogrel


beta blockers


ace inhibitors


statins


NO and morphine symptom contorl


loffler syndrome

endomyocardial fibrosis with prominet eosinhophili infiltrate


hematochromatosis


dcm

decreases mortality

ace i arb


beta blockers (except in acute decompsated hf)


sprinoocactone



hydralazine with no can improve symptoms and mortality in some pts

beck triad

seen in cardiac tamponade


hypotension


jvd


distant heart sounsd

cardiac tamponade on ekg

eletrical alternans


low voltage qrs

acute pericarditis on ekg

diffuse st seg elevation with pr drepression


puslus paradoxus

drop in 10mmhg of systolic bp upon inspriaiton


seen cardiac tamponande, asthma, obstructive sleep apnea, perdicardtiis and corup