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Flashcards in Miscellaneous Deck (11):
1

What is the symptom of acute pericarditis?

Sharp pain aggravated by inspiration

2

How is pericarditis relieved?

Sitting up and leaning forward

3

What are the three kinds of acute pericarditis?

  • Fibrinous
    • Most frequent
    • Presents with loud friction rub
  • Serous
    • From non-infectious inflammatory diseases
  • Suppurative/Purulent
    • Caused by infectious agents

4

What is cardiac tamponade?

Compression of heart by fluid in pericardium leading to decreased CO

5

What are the clinical findings in cardiac tamponade?

  • Hypotension
  • Increased venous pressure
    • jugularvein distension
  • Distant heart sounds
  • Increased HR
  • Pulsus paradoxus 

6

What is pulsus paradoxus?

Decreased amplitude of systolic blood pressure by 100mmHg during inspiration

7

How does syphilis cause heart disease?

Tertiary syphilis disrputs the vasa vasorum of the aorta causing dilation of the aorta and valve ring

Often causes  thoracic aneurysm leading to tree-bark like appearance of aorta

8

What are varicose veins?

Dilated totruous superficial veins due to chronically increased venous pressure

9

What do varicose veins predispose an indivual to?

Poor wound healing and varicose ulcers

10

What is Raynaud's disease?

  • Decreased blood flow to the skin due to arteriolar vasospasm in response to cold temperature or emotional stress
  • Most often in fingers and toes

11

When is Raynaud's disease called Raynaud's phenomenon?

  • When secondary to:
    • mixed connective tissue disease
    • SLE
    • CREST syndrome