Flashcards in Exam - Cardio Deck (13)
Jugular Venous Pressure (6) differences from Carotid Pulse
1.Double impulse (if in sinus rhythm)
2.Falls with inspiration, rises with expiration
4.Can be occluded by gentle finger pressure
5.Varies with sitting up or lying down
6.Increases with hepato-jugular reflux
2 to see: (1 & 2)
2 to feel: (3 & 4)
2 to do: (5 & 6)
What should you suspect in fever + murmur?
Common causes of "regularly irregular" pulse
What does high JVP indicate?
High RA Pressure
due to Cardiac Failure, Fluid Overload
When do you see single wave of JVP?
What is Kussmaul’s Sign?
JVP Rising with inspiration e.g. in constrictive pericarditis
When do you get a large a wave of JVP?
When do you get a large v wave of JVP?
Character of carotid pulse in aortic stenosis
Small volume, late rise
(specific but not sensitive)
Character of carotid pulse in aortic regurgitation
High volume, rapid fall (collapsing)
(sensitive but not specific)
What can a carotid bruit tell you?
–Represents carotid narrowing
–But not sensitive or specific and poor predictor of TIA & stroke
When do you hear S3?
–Turbulence during early filling of the ventricle
–May be normal
–Dilated left ventricle
•Volume overload: Mitral or Aortic Regurgitation