JB Cardio Flashcards

(45 cards)

1
Q

AAA dx

A

Initial: abdominal US

Gold standard: Angiography

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2
Q

AAA PE

A

Smoker

Rupture: palpable pulsatile mass. Sudden severe constant back/flank/abd/groin pain and/or shock

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3
Q

Acute MI tx

A

Fluids, O2, ASA, NTG, BB, ACE, statin, anticoag, anti-platelet

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4
Q

Acute anterior MI EKG

A

ST elevation V1-V4

ST depression in 2 other contiguous leads

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5
Q

Antiarrhythmics AE (amiodarone)

A

Amiodarone: optic neuritis, thyroid dz, hepatitis, pulmonary fibrosis (eye, thy, liver, lung)
Na channel blocker OD: wide complex QRS

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6
Q

Thoracoabdominal aneurism tx

A

BB (labetalol)

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7
Q

Angina tx

A

Stable: Nitro/ BB/ CCB
Unstable: MONA

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8
Q

Aortic aneurism tx

A

BB, statin, daily low dose aspirin, plavix
anticoags
surgical revascularization <5cm

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9
Q

Aortic stenosis tx

A

aortic valve replacement

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10
Q

Complete heart block tx

A

Definitive: permanent pacemaker

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11
Q

PSVT tx

A

Vagal w/ maneuver or adenosine

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12
Q

Vfib tx

A

CPR and defibrillation (unsynchronized cardiovert)

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13
Q

VTach tx

A

Stable: amiodarone, lidocaine, procainamide
Unstable w/ pulse: synchronized cardiovert
No pulse: unsync cardiovert + CPR
Torsades: IV mag

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14
Q

Torsade’s de Pointes tx

A

IV magnesium sulfate

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15
Q

Afib tx

A

BB/CCB
Anticoag
Convert (pharm or electro)

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16
Q

ASD murmur

A

Systolic ejection crescendo decrescendo murmur @ LUSB.

Widely fixed split S2 that does not vary with respiration

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17
Q

Cardiac arrest tx

A

CPR

Defib if VTach or VFib

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18
Q

Cardiac Tamponade PE

A

Beck’s triad: JVD, muffled heart sounds, hypotension

Pulsus paradoxus

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19
Q

Cardiogenic shock tx

A
Emergent ECHO
O2, isotonic fluids
Inotropes 
Pressors
ICU
20
Q

Coarctation of aorta PE

A

Child w/ secondary HTN, bilateral lower extremity claudication, systolic murmur radiates to back/scapula or chest.
Systolic BP upper extremities > lower extremities
Delayed/weak femoral pulses
CXR: rib notching/ figure 3 sign

21
Q

Coarctation of aorta tx

22
Q

CHF sx

A

Left: S3, rales (LUNG)
Right: JVD, ascites, edema (ROADS)

22
Q

CHF sx

A

Left: S3, rales (LUNG)
Right: JVD, ascites, edema (ROADS)

23
Q

CHF tx

A

Acute: LMNOP (lasix, morphine, nitro, O2, position/bipap)
Chronic: ACE/ARB, BB

24
CAD Dx
EKG --> stress test --> angiography (gold standard)
25
CAD tx
Stent or CABG
26
Dilated cardiomyopathy tx
HF tx: ACE, diuretics, BB, digoxin, AICD, heart transplant
27
Dissecting aortic aneurism dx
CT w/ contrast MRI angiography (gold standard) CXR: widened mediastinum
28
Dresslers syndrome tx
Aspirin or colchicine
29
Endocarditis tx
vancomycin | prophylaxis: amoxicillin DOC (clindamycin if penicillin allergy)
30
endocarditis dx
blood culture EKG Echo Labs: increased ESR/RF
31
Giant cell arteritis dx
Clinical dx. increased ESR >100. | Temporal artery bx
32
Giant cell arteritis tx
high dose corticosteroids
33
HOCM tx
BB 1st line surgical myomectomy alcohol septal ablation ICD placement
34
Kawasaki sx
Asian children "warm + CREAM": fever with 4/5 --> conjunctivitis, rash, extremity changes (arthritis), adenopathy, mucus membranes (strawberry tongue)
35
PDA PE
L to R shunt (non cyanotic) continuous machine like murmur loudest @ LUSB. wide pulse pressure, bounding pulses
36
PAD tx
cilostazol
37
PAD sx
Pale on elevation, ulcers on toes and points of trauma (lateral malleolus), thin shiny skin, hair loss, cool limbs, decreased/absent pulses
38
Raynaud's tx
CCB (dihydro) nifedipine
39
Renal artery stenosis dx
CT/MRA/US | Renal arteriography gold standard (dont use if renal failure present)
40
Rheumatic fever MCC
Group A beta hemolytic strep
41
STEMI tx
repercussion therapy (PCI/ thrombolytics) antithrombotics Adjunct: BB, ACE, nitrates, morphine, statin, electrolyte replenish
42
superficial thrombophlebitis tx
Aseptic: NSAIDS Septic: PCN + gentamicin
43
Tetrology of fallot sx
Cyanotic, RVH, VSD, overriding aorta | CXR: boot shaped heart
44
WPW tx
stable: vagal --> procainamide Unstable: synchronized cardiovert Radiofrequency ablation: definitive