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Flashcards in HPI and PE Deck (21)
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1

S3

"Kentucky"

2

S4

"Tennessee"
-almost always considered pathological

3

Left-side heart failure

-pulmonary congestion
-cough
-crackles
-wheezes
-blood-tinged sputum
-tachypnea
-paroxysmal nocturnal dyspnea
-elevated pulmonary capillary wedge pressure
-restlessness
-confusion
-orthopnea
-tachycardia
-exertional dyspnea
-fatigue
-cyanosis

4

Right Sided Heart Failure

-fatigue
-increase peripheral venous pressure
-ascites
-enlarged liver and spleen
-may be secondary to chronic pulmonary problems
-distended jugular veins
-anorexia and complaints of GI distress
-weight gain
-dependent edema

5

Orthostatic Hypotension

-drop in systolic pressure of 20 mmHg or more in 3 minutes
-drop in diastolic pressure of 10 mmHg or more in 3 minutes
-pulse increase by 20 beats/minute

6

Apex

mitral valve

7

Left sternal border

tricuspid valve

8

2nd and 3rd right interspace

aortic valve

9

2nd and 3rd left interspace

pulmonic valve

10

Osler Nodes

endocarditis

11

Janeway lesions

sub-acute bacterial endocarditis

12

Splinter Hemorrhages

sub-acute bacterial endocarditis or trichinosis

13

Nail Clubbing

-most etiologies unknown
-common with pulmonary and cardiac disorder

14

Corneal Arcus

hyperlipidemia

15

Beck's Triad

-distended neck veins
-decreased or muffled heart sounds
-hypotension

16

Sharp and stabbing pain

pericarditis

17

Tearing

aortic dissection

18

Sitting on chest

MI

19

Murmur

in the heart

20

Bruit

peripheral

21

Thrill

can feel it