Chest Pain and Fever I Flashcards Preview

CV II Exam 3 > Chest Pain and Fever I > Flashcards

Flashcards in Chest Pain and Fever I Deck (27):
1

concave upward on EKG

pericarditis

2

convex upward on EKG

MI

3

pain worse when lying down, better when sitting

pericardial pain

4

most common cause of pericarditis

viral - coxsackie

also, TB, bacterial, uremia, neoplastic, dresselers, radiation, drugs, myxedema

5

borrelia burdorferia

spirochete

lyme disease

can lead to pericarditis

6

exertional dyspnea and orthopnea three weeks after pericarditis

myocaridits
-see heart block on EKG

7

narrow QRS

no pacemaker

wide QRS - yes pacemaker

8

pericarditis with myocarditis?

troponin, heart block, wall motion abnormalities, CHF (BNP)

9

erythemia chronica migrans

lyme disease

10

bilateral bells palsy, oligoarthritis, heart block, myopericarditis

lyme disease
-borrelia burgdorferia

11

becks triad

muffled heart sounds
JVP
hypotension

electrical alteraans

cardiac tamponade

prerenal azotemia

12

pulsus paradoxus

cardiac tamponade

13

a wave

atrial contraction

14

x wave

atrial relax

15

v wave

atrial filling

16

y wave

atrial emptying

17

decreased y descent

decreased atrial emptying

tricuspid stenosis

and also cardiac tamponade

18

RV collapse

can be seen on cardiac ECHO in cardiac tamponade

19

cardiac tamponade Tx

pericardiocentesis

20

JVP, edema, hepatomegaly, ascites

constrictive pericarditis

21

kussmauls sign

deep breath causes increased JVD

seen in constrictive pericarditis

22

M or W on JVP tracing

constrictive pericarditis

23

square root sign

constrictive pericarditis

24

diastolic pericardial knock

constrictive pericarditis

25

causes of constrictive pericarditis

TB
radiation
cardiac surgery
viruses
trauma

26

restrictive cardiomyopathies and LV diastolic dysfunction

simulate constrictive pericarditis

27

constrictive pericarditis vs. restrictive cardiomyopathy

constrictive - no change in BNP

restrictive - elevated BNP

need to do cath
-LV end diastolic pressure
-equal - constrictive
-unequal - restrictive

pulmonary pressure high - restrictive