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Flashcards in CVS Deck (37)
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1

DIAGNOSIS

AORTIC STENOSIS

2

DISCUSS 1 PATHOGENESIS AND THE DIAGNOSIS OF THE CONDITION SHOWN IN THE IMAGE

CHRONIC RHEUMATOID ARTHRITIS

MITRAL STENOSIS

3

acute chest pain, alleviate when the patient leans forward, ST elevation in all leads.

Acute pericarditis

4

previously normal patient, new heart murmur and fever

diagnosis and cause?

acute bacterial endocarditis

 

coag. positive, catalase-positive, gram-positive bacteria

5

patient with rheumatic heart disease, new heart murmur, and fever

diagnosis and cause?

subacute endocarditis

alpha-hemolytic streptococcus

6

renin level in higher in left renal vein compared to the right

possible diagnosis

Left renal artery stenosis

7

the right kidney is smaller than the left kidney

 

possible diagnosis

right renal artery stenosis

8

serum sodium -high

serum ph- high

serum potassium- low

 

possible diagnosis

RAS

Conn syndrome

9

new hypertension, history of CAD, bruit in the left flank (at L2)

 

Renal Artery stenosis due to ATH

10

HTN is aggravated during pregnancy, angiogram showing beading of the Left Renal Artery

 

histology of the Left Renal Artery?

Collagen 1 deposit in the media

11

Which heart fails in Acute bacterial endocarditis in IV drug users?

Right

12

possible cause of the gross appearance?

100% occultation by an embolus from:

IE

MI

13

Acute gastric ulcer vs ATM of the mesenteric artery

how to differentiate?

ask if the patient has a history of CAD or has atherosclerosis risk factors

 

 

14

mention 4 risk factors

immobilization

pancreatic cancer

factor V Leiden

Smoking+ OCP use

15

1 risk factor

1 cause

1 risk factor- smoking

1 cause- hypertension

16

large heart, thick walls, and narrow left ventricular chamber

 

cause?

Hypertension

17

large vascular channels, calcification, location in the liver

 

diagnosis?

cavernous hemangioma

Think VHL

18

JVP raised suddenly after 5 days after MI, heart sound muffled

 

diagnosis?

rupture of the left wall in the MI

19

biopsy of renal arterioles

 

diagnosis?

benign long stanging HTN

20

biopsy of the renal arteriole

 

diagnosis?

malignant HTN

21

Area of perfusion in LAD, RCA?

LAD- LEFT LATERAL WALL AND ANT. 2/3 OF IVS

RCA: INFERIOR

22

VASCULITIS WITH FIBRNOID NECROSIS

PAN

23

VASULITIS WITH BLINDNESS

TEMPORAL ARTERITIS

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VASCULITIS WITH LOSS OF PERIPHERAL PULSE (UPPER LIMB)

Takayasu

25

groups of small capillaries under the skin disappeared after a few years of birth

 

diagnosis

cell of origin

Capillary Hemangioma

Endothelium

26

Mention 2 pathogenesis

CRHD

Papillary muscle rupture- MI after 3-7 days

27

diagnosis?

Pathophysiology (cause)?

 

AS

1. If the senile patient- dystrophic calcification on a tricuspid valve

1. In a younger patient- dystrophic calcification on a bi-cuspid valve

 

28

head-bobbing?

Likely AR

29

what is the histology of the area of the rupture?

rbc, coagulative necrosis, and early granulation tissue

(remember rupture happens between 3-7 days

30

MVP: recall changes in the tissue in Marfan syndrome

 

MVP- narrate the murmur

Myxoid bluish elastic tissue (ballooning degeneration).

 

MVP- early systolic click and late systolic murmur