Pulmonary-Vascular Conditions Flashcards Preview

Year 1 - Respiratory (DP) > Pulmonary-Vascular Conditions > Flashcards

Flashcards in Pulmonary-Vascular Conditions Deck (13):
0

What can lead to pulmonary venous hypertension?

Ischaemia LVF
Mitral regurgitation/stenosis
Cardiomyopathy

1

What can cause pulmonary arterial hypertension?

Hypoxia
Po emboli
Po vasculitis
- SLE
Left to right shunt

2

Clinical signs of Po hypertension and RVF

Central cyanosis
Oedema
Raised JVP
RV heave
Tricuspid murmur
Loud P2

3

How do we investigate pulmonary hypertension?

ECG
CXR
ABGs
Echo
V/Q scan
CT pulmonary angiogram

4

What is Virchows triad?

Blood stasis
Vessel wall damage
Hypercoagulability

5

Risk factors for DVT and PE

Thrombophilia
- FHx
- Age
Contraceptive pill
Pregnancy
Trauma
Surgery
Immobility

6

Investigation of a DVT

US Doppler
CT

7

How does a small recurrent PE present?

Dyspnoea
Po hypertension
RVF

8

How will a medium PE present?

Pleuritic pain
Haemoptysis
SoB

9

How will a large PE present?

CVS shock
Low BO
Central cyanosis
Sudden death

10

What clinical signs does a PE display?

Crackles
Pleural rub
Pleural effusion
CXR
- Basal atelectasis
- Consolidation

11

A patient has raised D dimers, so they definitely have a thrombus. True or false?

False. High D dimers means thrombus is just a possibility

12

What investigations are carried out in a suspected PE?

D dimers
V/Q scan
CT pulmonary angiogram
Plain CXR