GENERAL Flashcards
(24 cards)
FEVER, WHO
Morning >=98.9 F
EVENING >= 99.9 F
Cause increase in BMR in evening
Assessment of pulse
Rate
Rythm
Volume
Character or quality
Condition of vessel wall
Radiofrmoral , radioradial delay
Other palpable pulses
Bradycardia causes ,<60
Heart block , av block
Severe hypoxia
Myxedema coma
Hypothyroidism
Obstructive jaundice
Hypothermia
Cushings reflex dt raised ICT
DRUGS- beta blocker , verapamil , digoxin
Sick sinus syndrome
Athelete
Deep sleep
Dengue
Lymphoma
Tachycardia causes , >100
Tachyarrythmia
Cardiogenic shock
Hyperthyroidism
Thyrotoxicosis
Wet beriberi
Severe anemia
Av fistula
Cardiac failure
DRUGS- beta agonist , atropine , caffeine , nicoteine
Stress
Emotion
Pregnancy
Infants
Liebermeister rule
For change in temp by 1 degree Celsius ,
Rise in HR by 10
Regular rythm PULSE ๐ซ,๐VAH
Ventricular tachycardia
Atrial flutter
Heart block - first and second degree
Regularly irregular cause, ๐
Ventricular bigeminy , trigeminy
Sinus arrythmias
Irregularly irregular PULSE ๐ซ๐
Ventricular ectopic
VPC , PREMATURE COMPLESE
AF
Pulse deficit , HR-PR
> 10/min: ATRIAL FIBRILLATION
<10/min: VPC
Hypokinetic pulse PP<30mm hg
Shock
Hypovolemia
Cardiac failure
Mitral stenosis
Aortic stenosis
Constrictive pericarditis
HYPERKINETIC PULSE PP>60mmhg
Anemia
Beriberi
Thyrotoxicosis
Av fistula
Liver cirrhosis
AR
MR
PDA
VSD
Ruptured sinus of Valsalva
Fever
Pregnancy
Alcoholism
Exercise
( INCREASED END DIASTOLIC VOLUME )
Speed of Pulse wave
5 m /s
Speed of blood flow
0.5m/s
PULSE PARADOX , ๐ TP Sir ExamInes COP
Tamponade
Pericarditis
Shock
Embolism pulmonary
Cardiomyopathy
Obstruction SVC
Post thoracotomy
DEFN: Fall in systolic BP during inspiration by more than 10 mm Hg
RESP: BA, COPD , emphysema , b/l pleural effusion
Phy: Obesity
Pregnancy
Paradox of Pulsus paradoxus ?
During inspiration despite heart sounds are audible โฆpulse cannot be felt or absent pulse
Anacrotic pulse
Single peak low volume , AS
Spike and dome pulse
HOCM
Waterhammer pulse / Collapsing pulse / Watsonโs pulse / PULSUS CELER/ DANCING CAROTID
Sharp rise , sharp fall
High volume pulse
Iโll sustained
Pulse pr>60 m hg
High vol Collapsing pulse : AR, PDA
NORMAL vol : MR
OTHER: av fistula
Sinus of Valsalva
Twin beating pulse
Pulsus bisfreiens
Pulsus Dicroticus
Pulsus bisfreiens ๐AAH
Two peaks in systole
AR
AR+AS
HOCM
Pulsus Dicroticus ๐TLCD
One peak in systole and other in diatole
Typhoid
LVF
cardiomyopathy
Dehydration
Alternating volume pulses
Pulsus alternans
Pulsus bigeminus
Pulsus Atlernans๐ L
Regular rythm
Alternating high and low volume
LVF
Pulsus bigeminy ๐b=d
Normal beat - premature beat - normal beat - premature beat,
Alternating strength of pulse
Digoxin toxicity