[2] Cardinal Symptoms of Heart Disease Flashcards Preview

[OS 213] CVS Module > [2] Cardinal Symptoms of Heart Disease > Flashcards

Flashcards in [2] Cardinal Symptoms of Heart Disease Deck (33):
1

Attributes of Pain

O: Other Associated Symptoms
P: Provocative/Palliative
Q: Quality
R: Radiation/Region
S: Severity
T: Time
(Onset, Duration, Frequency)

2

[Classic Angina vs. Atypical vs. MVP]

Provocative

C: During Effort
A: Spontaneous
M: Spontaneous

3

[Classic Angina vs. Atypical vs. MVP]

Palliative

C: Rest/Nitrates
A: Nitrates
M: Spontaneous

4

[Classic Angina vs. Atypical vs. MVP]

Quality

C: Variable
A: Variable
M: Variable

5

[Classic Angina vs. Atypical vs. MVP]

Radiation

C: Retrosternal
A: Retrosternal
M: Left Anterior

6

[Classic Angina vs. Atypical vs. MVP]

Severity

C: Mild
A: Mild
M: Mild-Severe

7

[Classic Angina vs. Atypical vs. MVP]

Timing

C: 1-30 Minutes
A: 1-30 Minutes
M: Minutes - Hours

Recent data shows that Angina attacks should last less than 15-20 minutes

8

[Classic Angina vs. Atypical vs. MVP]

Other Factors

C: Risk Factors
A: Also w/ CSAP
M: Young Female

9

When does Variant Angina? or Vasospastic Angina occur?

What is typical of it?

Occurs at Rest
ST Segment Elevation

(Typical myocardial problems cause ST Segment Depression)

10

What can usually cause Atypical Angina?

Coldness

11

Diagnose: Patient is a 40F with chest pain on exertion, usually after washing clothes

Upper Extremity Effort

12

Diagnose: The pain usually occurs during exertion but sometimes at rest or after fatty meals. It is relieved by nitrates or rest, or sometimes by belching...

Multiple Etiologies

(Biliary, GERD, Atypical Angina)

13

How do you differentiate Cardiac and Pulmonary Dyspnea?

Cough: Late symptom in Cardiac
Orthopnea: Late symptom in Cardiac
PND: Relieved by standing in Cardiac, Expectorates in Pulmonary

14

Define: Trepopnea

Difficulty of breathing on one side or another

15

Define: Platypnea

Dyspnea when upright

16

How can you alleviate symptoms of Trepopnea?

Lie on the side of the unaffected lung

17

Diagnose: "Doc, madali po akong mapagod.."

(Easy Fatigue vs. Exertional Dyspnea)

18

Define: Heart Palpitations

Being aware of your heartbeat

19

Diagnose: 74F Bilateral Ankle Swelling for the past month, she can hardly walk

Ankle Arthritis

(Edemas are not painful)

20

What concentration cause cyanosis?

Normal
Met-Hb
Sulf-Hb

Normal: 5g/dL

Met-Hb: 1.5g/dL

Sulf-Hb: 0.5g/dL

21

What causes Central Cyanosis?

Arterial Desaturation Centrally

22

What causes Peripheral Cyanosis?

Vasoconstriction in the Cold
Venostasis

General peripheral problems

23

Define: Toes were cyanotic but her fingers were not?

Reversed Patent Ductus Arteriosus

(Blood goes from right-left instead of the usual way around due to Pulmonary Hypertrophy over time)

24

Define: Syncope

Sudden transient loss of consciousness with no neurologic deficit

25

Define: Stokes-Adams Syncope

Sudden cessation of cardiac function and effective CO and complete heart block causing loss of consciousness

26

What is being tested when the doctor asks "What level of effort triggers the pain?"?
a. provocative
b. quality
c. palliative
d. region
e. associated symptoms

(c/o Leland Lukban)

A

27

Under Canadian cardiovascular grading of angina: Angina with strenuous or rapid or prolonged exertion at work or recreation.
a. grade 1
b. grade 2
c. grade 3
d. grade 4

(c/o Leland Lukban)

A

28

Region where esophageal non-cardiac associated chest pain is usually observed
a. Retrosternal
b. Left anterior
c. Substernal
d. midclavicular

(c/o Leland Lukban)

C

29

Which one of these fall under Functional non-cardiac associated chest pain?
a. Tietze’s syndrome
b. Da Costa’s syndrome
c. Prinzemetal’s Angina
d. Kobayashi’s Syndrome

(c/o Leland Lukban)

B

30

Referred to as a supply type of angina.
a. Classic Angina
b. Atypical Angina
c. Mitral valve prolapse Angina
d. Esophageal Angina

(c/o Leland Lukban)

B

31

This causes Descending Edema

Renal Cause

32

This causes Centrifugal Edema

Hepatic Cause

33

This causes Ascending Edema

Cardiac/Pulmonary Cause