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Flashcards in Cardiology Deck (97)
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1

descriptions of innocent murmurs

vibratory, venous hum, carotid bruit

2

3rd heart sound

could be normal if only when laying

3

murmur with fixed and split 2nd heart sound

ASD

4

ASD murmur is hear best where

L upper sternal border (murmur is from increased flow through the pulmonary valve)

5

if ASD is missed it could lead to

Eisenmenger syndrome (eventual R to L flow 2/2 pulmonary HTN)

6

VSD murmur

blowing and holosystolic, best heard at L lower sternal border

7

VSD murmur and size

larger size = softer murmur because less turbulence

8

murmur with an ejection click that varies with respiration and normal splitting of S2

pulmonic stenosis

9

pulmonic stenosis echo finding

RVH

10

pulmonic stenosis murmur location

L upper sternal border with thrill and radiation to the back

11

blowing/harsh holosystolic murmur

VSD

12

high pitched holosystolic murmur

mitral regurgitation

13

ejection click that does not vary with respiration

aortic stenosis

14

aortic stenosis murmur best heard

right upper sternal borer with a thrill at the sternal notch

15

echo finding in aortic stenosis

LVH

16

to and fro machinery type murmur

PDA

17

AV canal defect association

Down syndrome

18

AV canal defect on EKG

superior QRS axis and L axis deviation

19

things that produce L axis deviation on EKG but not LVH

AV canal defects and tricuspid atresia

20

R sided aortic arch association

22q11 deletion

21

coarctation murmur

systolic murmur in the L axilla with radiation to the upper back

22

cardiac murmur that is louder in the back

coarctation

23

echo findings in newborn with coarctation

RVH (RV is the main pumper in fetus)

24

coarctation treatment

prostaglandin drip to maintain PDA to increase blood flow to the descending aorta

25

causes of severe central cyanosis in immediate newborn period

1. Transposition
2. pulmonary atresia
3. Epstein malformation

26

cyanotic congenital heart disease

1. truncus arteriosus
2. transposition
3. tricuspid atresia
4. tetralogy of fallot
5. total anomalous pulmonary venous return

27

tetralogy of fallot

1. pulmonary stenosis
2. overriding aorta
3. VSD
4. RVH w. R axis deviation

28

most common cyanotic heart disease in newborn

transposition

29

most common cyanotic heart disease in infant

tetralogy of fallot

30

boot shaped heart with decrease pulmonary vascularity

tetralogy of fallot