Week 5 Flashcards
What is the acronym FROM JANE mean and what is it used for
Endocarditis
Fever Roth Spots Osler Nodes Murmur Janeway Lesion Anemia Nail Bed hemmorhage Embolic Phenomina
Which ones are painful
Osler Nodes or Janeway Lesions
Osler nodes
What is modified Duke Criteria and what is it used for
Endocartitis
- Pathological evidence
- Imaging evidence
- clinical signs
- Historical elements
1 cause of subacute endocarditis
Strep Viridiens
1 mumur of rheumatic heart disease
Mitral stenosis
What is the Jones Criteria and what is it used for
Acute Rheumatic Fever
Major:
- migratory polyarthritis
- carditits or valvulitis
- cns involvement
- subcutaneous nodules
- erythema marginatum
Minor:
- arthralgia
- fever
- elevated acute phase reactants (ESR/CRP)
- Prolonged PR interval
1 cause of acute pericarditis
Viral=herpes
Symptoms of pericarditis
- substernal stabbing sharp pain
- radiates to back and shoulders BL
- Worse with inspiration, lying supine
- better leaning forward
- Tachycardia/fevr
s4 gallop is what
MI
St evelation in multiple leads suggest what
Pericarditits
What is becks triad
Distant heart sounds
JVD
hypotension
What are the signs of cardiac tamponade
Hypotension Increase venous pressure narrowed pulse pressure pulsus paradoxus becks triad
Most common valvular abdomality in theUS
MVP
Most common valvular abdnormality >65yo
Aortis stenosis
Squatting increases what murmurs
AS and most murmurs
Valsalva increases which murmur
MVP/Hcom and Aortic Regurg
What murmur is systol, crescendo decresendo,
Aortic stenosis
how to dx AS and what is significant value
TEE, 50mmHg
What is the only drug approved by the FDA for anticoagulation after valve replacement
Warfarin
What is the most common cause of Aortic stenosis
Aortic Sclerosis
What murmur isblowing, descrendo, high pitched
Aortic Regurg
What is an austin flint mumur
Severe AR with displaced PMI and low frequency rumble at the apex
What confirms diagnosis of AR
ECHO, measure aortic root dilation
Values that suggest Valve replacement in AR
Ejection fraction <55%
LV dimension <55mm
