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11 Cards in this Set

  • Front
  • Back

Normal temperature

36.4 - 37.2 (rectal)



36.6 - 37.2 (axillary)

Sites of temperature measurement

In decreasing order of sensitivity


Oesophageal cavity


Tympanic membrane


Rectum


Oral cavity


Axilla

Sepsis

SIRS plus evidence of infection

SIRS

Syndrome characterized by 2 or more of the following:



Temp >38° or <36°



Tachypnea RR >24 cpm



Tachycardia HR >90 bpm



Leukocytosis >12000/, leukopenia <4000 or >10% band form

Conditions associated with pulsus paradoxus

Airway obstruction


Acute severe asthma


Massive pulmonary embolism


Pericardial tamponade

Conditions associated with collapsing pulse

Aortic regurgitation


Patent ductus arteriosus


Hyperdynamic states: thyrotoxicosis, anaemia, pregnancy, wet beriberi, fever

Causes of elevated JVP

Right heart failure


Congestive cardiac failure


Constrictive pericarditis


Cardiac tamponade


Renal disease with salt and water retention


Over transfusion


Hypertrophic cardiomyopathy


Tricuspid valve disease


Pulmonary embolism


Right ventricular infarction


Superior vena cava obstruction

Kussmaul's sign

Kussmaul's sign is a paradoxical rise in jugular venous pressure (JVP) on inspiration, or a failure in the appropriate fall of the JVP with inspiration. It can be seen in some forms of heart disease and is usually indicative of limited right ventricular filling due to right heart dysfunction. E.g in constrictive pericarditis & cardiac tamponade

Causes of displaced Apex beat

Cardiomegaly



Mediastinal shift from tension pneumothorax, massive pleural effusion, large mediastinal masses



Scoliosis

Causes of impalpable Apex beat

Obesity


Muscular subjects


Asthma


Emphysema


Dextrocardia


Pericardial effusion

Heave in the left parasternal area indicates

Right ventricular hypertrophy