CVS Correlastion Flashcards
(26 cards)
The hand in CVS EXamination
1- Clubbing
Common Cause
CVS -2-
Respiratory -2-
1-2-3-4-
And uncommon
Respiratory -3-
GIT-3-
Rare -2-
CVS
1-Cyonotic Cogenital heart disease
2- Infective Endocarditis
Respiratory
1-Lung carcinoma
2-Chronic pulmonary
Bronchietasis
Lung Absecess
Empyema
Idiopathic pulmonary fibrosis
GIT
Cirrhosis
Celiac disease
Inflamtory bowel disease
Rare
Neurogenic diaphragamtic tumore
Pregnancy
Unilateral clubbing -2-
Pathogensis ?
1- Bronchial arteriovenous aneurysm
2- Acillary artery Anerysm
Pathogenisis : in tesponce to attial hypoxemia unknown humoral substance cause dilastion of the vessles of the finger tip of the vessles
Splinter Hemorrhage
De :
Causes :
1-2-3
6 Causes
Liner hemorrhage lying parellel to the long axis of the nail
1 -Truma
2- infective endocarditis
Other Causes
Vasculitisv
Rhematic arthritis
Polyarthritis nodsa
Sepsis
Hematolgical malignancy
Profunda anemia
Osler node
De :
Causes :
These red raised tender nodule on the pulp
Rare infective Endocarditis
Janeway Lestion De :
Tendon xanthomata De :
Palmar xanthemta tuberactive xanthomata :
1- Non tender erythrmatous macularpopular Lestion contaning Bactira
2- Yellow or orange deposit of lipid type 2 hyperlipidemia
3- Occur in elbow and Knee type 3 Hypelipidemia
There are 2 positive wave in normal JVP ?
a- wave : with right atrial systole with 1st heart sound Cause : Atrial contraction
v- wave: ventircle systole
Cause Tricsped valve is closed and atrial is opining
There 2 decent in normal JVP
X decent Caused by atrial relaxtion
Y decent by rapid ventricular filling with tricusped opining
C wave not usually visible from Carotid A
Abnormal patteren of the wave JVP
(Cannon Wave) ?
Occur when right Atrium Aganict cloused Tricusped
Abnormal patteren wave JVP
(Giant a wave )
When the atrial pressure ⬆️⬆️⬆️
Becouse ;;
1- obstruction in the outflow (tricuspid stenosis )
2-Elevated pressure in pulmonary circulastion
Abnormal patteren wave JVP
Large V wave
Occur when tricuspid regurastion
Kussmaul*s sign in JVP
De : Increase jvp during inspiration
Right ventricle limited becouse
1-Constrictive pericarditis
2-Cardic temponade
3-Right ventricle infraction
Ex: the best exame when pastient 90 degree
Auscultastion
Bell -daiphgram
Heart sound
1.2.3.4
Bell : for low pitched sound
Diastolic murmer of mitral stenosis 3rd heart sound
Diaphgrame :
Desgined higher piched sound
Systolic murmer of mitral regerastiin and 4th heart sound
1st heart sound
Mitral valve closure
Tricuspid valve closure
2nd
Pulmonary valve closure
Aoartic valve closure
3rd low piched mid diastolic sound
It is lead to gollap rhythm
Pulses Alterence
Pulse Paradox
Colllapsing
Bisferins
-Sever myocardial infection
-increase experation decrease inspirastion (pericarditis percardial effustion sever asthma )
- High Aoratic regurastion
— Aoartic strnosis and regurastion
(2)
(The atrial pulse ) Methode
Give me three artery
And the Methode
Radial Artery : medial to radius
Brachial Artery : medial to biceps muscle
Carotid Artery : between larynx and sternoclemastoid
(2) the rate of pulse
Give me number
Normal :…..
Bradycardia:…..
Tachycardia:…….
60-100
<60
>100
(2) whatis the finger use it
Radiofemoral delay occur in :…….
Radial radial delay occur in :……….
Use use one plase of Finger of other hand and the other hand below the femoral below ingunial ligamint up pubic tubrcle
Radiofemoral delay : coaraction aorta
Radio-radial :athrescolosis
(2) Charachter and volum
Methode
(USE brachial and Carotid arteris
1- Pulse Alterence Rare: regular
alterence of strong and weak beats
2- pulse paradox :pulse volum on expirastoin and decrease occur in
Constrictive pericaditis pericardial effustion sever asthma
Collapsing : definastion High volum
Occur in Aoartc regurastion
Bisferis pulse : Slow rise aoratic stenosis and regrastion
(3)The blood pressure
Korotkoff sound
K1: the first heard sound
K2: the sound increase
K3 : the sound decrese
K4:disappear
K5: the last heart sound
K4: in the Aoaric regurastion
(4) The neck
Carotid Artery place and
Function …..
Palpate in the same time both Carotid …..✅❌
IJV
Plasce :……
Normal : ……
Posastion :…..
It is medial in to sternomastoid
Palpate aorta left ventricle
IJV : Right atrium
Lies of( 5 cm ) below zero point
45*
(4) of neck
IJV
In supine : …………..
In upright :………..
1- :is distend
2-: collapsed
Hepatojuglar Reflex
5-10 secound
Different
Carotid and juglarArtery
Cause of raised IJV
Carotid. IJV.
Rapid outward. Rapid inward.
One peak . 2 peak.
Palpates. Inpapated.
Independet . Deppendet.
Cause :
Pump failure
Right ventricular
Restricative cardiomapthy
There 2 positive wave IJV
a wave and V wave
Coincides
Cause
And 2 decent of th IJV
X deseant and Y deseant
1- with right atrial systole
Cause:Atrial contractian
2- with ventricular systole
Cause :tricusbed valve
1-atrial relaxtion
2-rapid ventricule
Abnormal pattern of the Wave
Cannon a wave
Giant a wave
Large v wave
1- occur when the right atrium cotract aganist the closed tricusped
2- obstraction in the outflow and elevated pressure in pulmonary ciculastion
3-tricuspid regurastion
