Pulse Flashcards
1
Q
Water hammer pulse
A
Aortic regurgitation
2
Q
Pulsus Alternans
A
LVF
Paroxysm tachycardia
3
Q
Bisferiens
A
AR with or without AS
Hypertrophic cardiomyopathy
( best palpable at Brachial n femoral artery)
4
Q
Pulsus paradoxus
A
Pericardial tamponade Constrictive pericarditis SCV obstruction COPD Asthma Pulmonary embolism Hypovol shock
5
Q
Dicrotic pulse
A
Dilated cardiomyopathy
6
Q
Pulsus bigeminus
A
Digitalis toxicity
Sick sinus syndrome
Heart block
( pulse is irregular, compensatory pause present)
7
Q
Narrow pulse pressure
<25% systolic BP
A
Congestive heart failure
Aortic stenosis (severe)
Cardiac tamponade
Dehydration
8
Q
Wide pulse pressure
(>50% systolic BP)
*usual reason of high BP
A
Aortic regurgitation PDA Complete heart block Hyperthyroidism Beriberi Pregnancy Fever Anemia Anxiety
9
Q
Pulse Deficit
Ventricular Rate> Radial pulse rate
A
premature Ventricular contractions (PD <10/min) Atrial fibrillation (>10/min)
- occurs in tacharrhythmias
10
Q
Fixed wide splitting S2
A
ASD(M/C)
Pulmonary stenosis
Acute right heart failure
11
Q
physiological HS3
A
Athletes Fever Pregnancy Thyrotoxicosis AV fistula
12
Q
Patho HS3
A
Dilated cardiomyopathy restrictive/ hypertrophic cardiomyopathy Ischemic heart disease Valvular heart disease Cong heart disease Systemic or pulmonary htn Lt to rt shunts Constrictive pericarditis (PERICARDIAL KNOCK)
13
Q
hS4
A
Ventricular hypertrophy Ischemic heart disease Dilated cardiomyopathy Atrial systole which is vigorous Anemia/ thyrotoxicosis Heart block
