Cardiology Flashcards
A 52-year-old woman presents with a 2-hour history of severe, central, crushing chest pain radiating to her neck. She has a history of diabetes and hypertension, and a 20 pack-year smoking history.
Acute coronary syndrome
A 64-year-old male presents with severe, central, crushing chest pain radiating to his left arm. Serial ECGs demonstrate ST elevation in leads II, III and aVF.
STEMI
A 66-year-old male presents to the emergency department with breathlessness. He has a history of hypertension. On examination, there are bibasal crackles, alongside a raised JVP and swollen ankles.
Cor Pulmonale
A 42-year-old man presents with a 3-day history of sharp, central chest pain which improves when leaning forwards. On auscultation, a pericardial rub is heard at end-expiration.
Pericarditis
A 70-year old male presents with a 3-week history of shortness of breath and palpitations on a background of diabetes and hypertension. An irregularly irregular pulse is noted on examination
Atrial fibrillation
A 62-year-old man presents with breathlessness, which is exacerbated during sleep. He has a history of hypertension and diabetes. There is a raised JVP and S3 gallop on auscultation.
Chronic Heart failure
A 42-year-old man presents to the emergency department with a 4-day history of fever and chills. He has had a valvular repair for aortic regurgitation and is a known heroin user. He has an audible systolic murmur.
Infective endocarditis
A 56-year-old Afro-Caribbean man presents for an annual check-up. Although he is feeling well, he consumes fast food every day and continues to drink alcohol and smoke cigarettes. His BP is 154/98 mmHg.
Stage 2 hypertension
A 56-year-old Afro-Caribbean man presents for an annual check-up. Although he is feeling well, he consumes fast food every day and continues to drink alcohol and smoke cigarettes. His BP is 154/98 mmHg.
Stage 2 hypertension
A 50-year-old man presents with a complaint of central chest discomfort of 2 weeks’ duration, occurring after walking for more than 5 minutes or climbing more than one flight of stairs. The chest discomfort resolves with rest within several minutes. He is obese, has a history of hypertension, and smokes 10 cigarettes a day.
stable angina
A 73-year-old lady presents to the Emergency Department via ambulance after having collapsed whilst out shopping. She reports worsening exercise tolerance with dyspnea for 3 months and occasional bouts of chest pain as well as swollen ankles. On examination, she has an ejection systolic murmur accentuated by expiration
Aortic stenosis
A 72-year-old man presents to his GP with an increase in fatigue, exertional dyspnoea and ankle swelling. On examination, he has a loud holosystolic murmur.
Mitral regurgitation
A 72-year-old man presents to his GP with an increase in fatigue, exertional dyspnoea and ankle swelling. On examination, he has a loud holosystolic murmur.
Mitral regurgitation
A 70-year-old male presents to the emergency department with severe abdominal and back pain on the background of hypertension, diabetes and a significant smoking history.
Abdominal aortic aneurysm
A 65-year-old male with hypertension presents with tearing chest pain that radiates to the back. A blood pressure reading of 100/70 mmHg is recorded on the left arm and 140/90 mmHg on the right arm.
Aortic dissection
