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Flashcards in valves Deck (32)
1

Ms. ArdMr. Ass

mitral sten & aortic regurg : diastolicmitral regurg & aortic sten : systolic

2

pulsus tardus

delayed pulse to carotids because heart is beating harderassociated with aortic stenosis

3

water hammer pulse

associated with aortic regurg

4

de musset's sign

head bob with heart beatassociated with aortic regurg

5

quincke's pulse

alternating flush/pallor in nail bedsassociated with aortic regurg

6

traube's sign

pistol shot sound, femoral arteryassociated with aortic regurg

7

low, listen with bell

S3, S4, summation gallop, mitral stenosis, tricuspid stenosisS34, SMarT

8

mitral stenosis associated s/s

won't open therefore back up: coarse crackles, dyspnea, orthopnea, PNDa fib because atrium struggling - NO ATRIAL KICK

9

what happens to chambers that get regurged into?

dilation - they can't get it out

10

this valve problem results in LV hypertrophy, dilation, failure

aortic regurgitation(PMI shifts left, fatigue, SOB, syncope, exercise intolerance)

11

increased risk with aortic regurg

increased CHF risk (PMI shifts left, fatigue, SOB, syncope, exercise intolerance)

12

commissure

two leaflets abnormally stuck to each other

13

no atrial kick with what valve issue

mitral stenosis

14

may hear a click with late systolic murmur

mitral valve prolapse

15

mitral regurg results + s/s

decreased SV, L atrial dilationexaggerated PMI, dyspnea, orthopnea, PND, dysphagia (enlarged left atrium), PVC, SVT

16

aortic stenosis s/s

angina (poor coronary artery perfusion)syncopeexertional dyspneaexaggerated PMIpulsus tardus

17

exaggerated PMI in which valve problems

mitral regurgitation (LV dilated)aortic stenosis (can't get blood out)

18

valve issue intensifies with dehydration

mitral valve prolapse

19

tricuspid stenosis

usually occurs with systemic problem resulting in mitral stenosis and also some sort of aortic problem

20

physiological splitting S2: what & heard where

↑ venous return to RV = late pulmonic closure↓ return to LV d/t ↑ pulmonary capacity (inspiration) - early aortic closureheard: pulmonic

21

heart sound highly suggestive of myocardial failure

summation gallop

22

S3

ventricular galloppassive filling of blood into non-compliant LVbell on mitral (left lateral may help)

23

S4

atrial gallopblood enters non-compliant LV during atrial kickbell on mitral (left lateral may help)

24

if you have a fib, which heart sound will you NOT hear?

S4

25

murmur grades

I - softII - think about itIII - no duhIV - murmur + thrillV - louder but needs stethoscope + thrillVI - no stethoscope needed + thrill

26

systolic vs diastolicejection vs regurgitation

systolic:

27

aortic regurg aka

aortic insufficiency

28

PAC picks up pressure as v wave from which valve problem?

mitral regurgitation

29

low decrescendo-crescendo

mitral stenosis

30

high holosystolic

mitral regurgitation

31

medium harsh diamond

aortic stenosis

32

high blowing decrescendo

aortic regurg