2018 Cardiovascular Disease 14% - lipid 2% Flashcards Preview

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Flashcards in 2018 Cardiovascular Disease 14% - lipid 2% Deck (365)
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1

Opening snap? = click? =

Snap - MS Click - MVP

2

Closure of valves makes what heart sound?

S1 S2

3

Loud S1

MS Short PR (WPW) Tachycardia Thyrotoxicosis

4

Soft S1

MR Long PR inc'd LVEDP

5

S2 inspiration

A2 - AV closess first P2 - PV closes last -> physiologist split

6

S2 expiration

both valves close at same time

7

S2 split inc'd

closese earlier - MR, VSD Closes later PS, pulm HTN (loud P2) RBBB

8

Fixed S2 split

ASD

9

paradoxical S2 split

AS, HTN, LBBB

10

S3

inc'd flow chronic MR CHF TR, PDA BENIGN IN KIDS/pregnancy restrictive cardiomyopathy

11

Inspiration

MORE BLOOD IN R HEART

12

S4

Decreased compliance Acute MR HOCM LVH AS Ischemia

13

Pericardial friction rub

Superficial scratch sound best heard when pt upright leaning forward and deep breath in pericarditis

14

Pericardial knock

constrictive pericarditis - sharp early diastolic sound (early 3rd sound)

15

Physioligc during expiration

Single S2

16

HTN/AS/LBBB

Paradoxical S2 split

17

ASD

Fixed split

18

Calcified AS

Single S2 (soft A2)

19

HTN

Loud A2

20

Pulm HTN

Loud P2

21

Physiologist split

A2 before P2

22

Pulsus tardus

slowly rising pulse --> AS #2 murmur radiates to the carotids. #3 crescendo-decrescendo

23

Pulsus bisferiens

1. rapid upstroke, no radiation 2. bifid/trifid impulse HOCM. #3. early systolic murmur (incr. w/ exertion)

24

Pulsus alternans

one heart snd normal, one abnormal severe HF

25

Hyperkinetic

High output state PDA Thyrotoxicosis

26

Hypokinetic

Low output states

27

Auscultation areas?

1. R 2nd ICS (Aortic Area) - AS, AI 2. Left 2nd ICS (Pulm area) - PS, PR, AI, - PDA (left 3rd ICS 3. LLSB (Tricuspid area) - TS, TR - ASD, VSD - HOCM 4. Apex (Mitral Area) - MS - MR - AR

28

Palpation areas?

Left parasternal area 1. Hyperdynamic implse (inc'd RV volume (ASD or TR) 2. Sustained L parasternal heave - (incr. pressure) RVH, (MS, pHTN, PS) Apical area 1. Hyperdynamic impulse - Inc'd LV vol (Hyprthyroid, Anemia, preimary MR, AR with nl EF, PDA VSD) 2. Susptained Apex lift/impulse (incr. pressure) - LVH (HTN, Dil CM) - IHD, AR with low EF - Bifid/trifid apical impulse - HOCM

29

AV Valve Holosystolic murmur

MR, MR, VSD

30

V valves Mid systolic murmur

AS, PS