Shared Flashcard Set

Details

Cardiac Diagnosis
Phys Dx II cardiac exam
51
Health Care
Professional
03/02/2010

Additional Health Care Flashcards

 


 

Cards

Term
CHD is the leading cause of death in the US, what % of all deaths
Definition
38.5%
Term
who has a high incidence of heart disease, men or women
Definition
men more than women before menopause
Term
if a person has a high inflammatory index, what does this mean?
Definition

high levels of c-reactive protein are present

the inflammation leads to plaque build up

 

(people with fibromyalgia have high levels of CRP)

Term
when is one considered to have hypertension
Definition
adults:  >140/90
Term
how many americans are affected by HTN of over age 65
Definition
2/3
Term
is there a racial predisposition
Definition
over 50% of African Americans have HTN
Term
what is in your chest pain differential
Definition

Cardiovascular

respiratory (pleural)

GI

Chest Wall Syndrome

psychogenic

Term
what is Levine sign
Definition
holding a clenched fist over the chest/sternum---sign of anginal chest pain
Term
unstable angina
Definition
occurs at rest
Term
what is pericarditis
Definition

sharp knife like pain, aggravated by breathing, changing position, coughing, lying down, and swallowing

sitting forward may relieve it

Term
fowler's position
Definition

sitting forward to relieve chest pain

is classic for pulmonary emboli or pericarditis

Term
symptoms of dissecting aortic aneurysm
Definition
ripping, tearing pain
Term
angina pectoris process
Definition
temporary MI, 2nd to atherocsclerosis
Term
where do you feel angina pectoris
Definition

retrosternal,

across anterior chest

radiating to shoulders, arms neck lower jaw or upper abdomen

Term
quality of angina pectoris
Definition

pressing,

squeezing,

tight,

heavy,

occasional burning

Term
angina pectoris severity
Definition

mild to moderate

sometimes feel like discomfort rather than pain

Term
angina pectoris timing
Definition

1-3 min, but up to 10min

prolonged episodes up to 20 min

Term
what aggravate angina pectoris
Definition

exertion (especially in the cold)

meals

stress

can occur at rest

Term
what relieves angina pectoris
Definition

rest

nitro

 

Term
associated symptoms with angina pectoris
Definition

dyspnea

nausea

sweating

Term
Myocardial infarct. process
Definition

prolonged ischemia

results= irreversible muscle damage/necrosis

Term
Location of MI
Definition
same as angina
Term
quality of MI
Definition
same as angina
Term
severity of MI
Definition
often, but not always severe pain
Term
timing of MI
Definition
20 min to several hours
Term
associated symptoms of MI
Definition

nausea

vomiting

sweating

weakness

 

Term
process:  pericarditis
Definition

irritation of parietal pleura adjacent to pericardium

 

Term
location of pericarditis
Definition

precordial

may radiate to tip of shoulder & to neck

Term
quality of pericarditis
Definition

sharp

knifelike

Term
severity: pericarditis
Definition
often severe
Term
timing:  pericarditis
Definition
persistent
Term
aggravates pericarditis
Definition

breathing

changing position

coughing 

lying down

sometimes swallowing

Term
what relieves pericarditis
Definition
sitting forward may (fowler's position)
Term
associated symptoms of pericarditis
Definition
same as the underlying illness
Term
where else can one feel pain from pericarditis
Definition
retrosternal
Term
other types of sensation assoc. with pericarditis
Definition
crushing
Term
process of dissecting aortic aneurysm
Definition

splitting of layers in the aortic wall, 

allows passage of blood to dissect a channel

Term
location of dissecting aortic aneurysm
Definition

anterior chest

radiates to neck, back, abdomed

Term
quality of dissecting aortic aneurysm
Definition

ripping

tearing

Term
severity:  dissecting aortic aneurysm
Definition
very severe
Term
timing:  dissecting aortic aneurysm
Definition

abrupt onset

early peak

persists for hours or more

Term
aggravating factors:  dissecting aortic aneurysm
Definition
hypertension
Term
assoc.  symptoms:  dissecting aortic aneurysm
Definition

syncope

hemiplegia

paraplegia

Term
what are palpitations?
Definition
uncomfortable sensations of heart beats assoc. w/ various arrythmias
Term
assoc.  factors:  palpitations
Definition

exercise

chest pain

headaches

sweating

dizziness

heat/cold intolerance

alcohol/caffeine usage

medications

Term
people w/ migraines are likely to experience....
Definition
arrhythmias
Term
common causes of palpitations
Definition

bronchodilators

digitalis

antidepressants

diuretics

smoking 

caffeine

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