Term
| Recurrent episodes of brief facial flushing, diarrhea and palpitations |
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Definition
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|
Term
| A persistent malar flush may be seen in butterfly rash]: |
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Definition
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|
Term
| A persistent malar flush may be seen on the checks |
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Definition
|
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Term
| Koilonychia seen in post-menopausal women with dysphagia, |
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Definition
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Term
| Bilateral pitting edema is seen in the following: |
|
Definition
a. Congestive heart failure-increased hydrostatic pressure
b. Liver failure-low production of proteins
c. Renal failure-decreased urine production and water retention
d. Nephrotic syndrome-loss of proteins in the urine with low blood proteins
e. Kwashiorkor-protein malnutrition |
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|
Term
| Unilateral pitting edema may be seen in: |
|
Definition
a. Deep vein thrombosis
b. Cellulitis |
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Term
| In Deep Vein Thrombosis, the leg would be |
|
Definition
| swollen and painful but the skin will not be hot. |
|
|
Term
| In cellulitis, the leg will be |
|
Definition
| painful, swollen and hot. |
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Term
| Mondor’s disease may be seen more commonly in |
|
Definition
| females on the oral contraception, trauma or intravenous drug use. |
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|
Term
|
Definition
|
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Term
|
Definition
| Aortic regurgitation [incompetence] |
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Term
|
Definition
| Hypertrophic obstructive cardiomyopathy |
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Term
| Pulsus paradoxus: The pulse amplitude decreases and increases with expiration and inspiration normally. |
|
Definition
a. severe bronchial asthma
b. cardiac tamponade
c. large pericardial effusion |
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|
Term
Pulsus parvus et tardus
This is a slow rising late-peaking pulse seen classically in: |
|
Definition
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|
Term
Pulsus magus (water-hammer pulse)
This is another term for a large bounding pulse as seen in: |
|
Definition
a. anxiety
b. fever
c. pregnancy
d. hyperthyroidism
e. aortic incompetence
f. patent ductus arteriosus
g. wet beri beri |
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Term
| Compare the quality of the strength of the right and left radial pulses. Inequality in one pulse may indicate |
|
Definition
| atherosclerotic narrowing of the subclavian or axillary artery on the weaker side. |
|
|
Term
| Inequality in one pulse from another also may indicate |
|
Definition
| Takayasu’s disease (Pulseless disease) which is a condition in which there is an inflammation of the branches of the arch of the aorta. |
|
|
Term
| Inequality between the radial pulses may also be seen in patients with |
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Definition
| Subclavian Steal syndrome in which one subclavian artery is obstructed proximal to the origin of the vertebral artery and there is retrograde flow to the ipsilateral vertebral artery fed by the contralateral vertebral artery. |
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Term
| If there is a delay between the radial and femoral pulses this may signify the presence of |
|
Definition
|
|
Term
| If one femoral artery is weaker than another it could signify |
|
Definition
| Severe atherosclerotic narrowing of the external iliac artery |
|
|
Term
| unilaterally weaker pulse in the posterior tibial artery may signify |
|
Definition
| severe atherosclerosis anywhere from the femoral to the popliteal artery |
|
|
Term
| changes in the foot that might be indicative of peripheral vascular disease: |
|
Definition
a. cold extremity
b. thin skin
c. loss of hair over the toes |
|
|
Term
| A unilaterally weaker dorsalis pedis pulse may signify |
|
Definition
| severe atherosclerosis anywhere from the femoral to the anterior tibial artery |
|
|
Term
| Current evidence shows that a carotid bruit is a useful clinical sign with a high specificity (> 90%) for the detection of |
|
Definition
|
|
Term
| A carotid bruit is also a useful indicator of |
|
Definition
|
|
Term
| Titubation In time with the pulse = |
|
Definition
| aortic regurgitation [de Musset‟s sign] |
|
|
Term
| Titubation Not in timing with the rhythm of the heart = |
|
Definition
| cerebellar dysfunction resulting in truncal ataxia |
|
|
Term
| If the titubation is associated with a pill-rolling tremor or shuffling gait = |
|
Definition
|
|
Term
| Jugular venous distension could mean |
|
Definition
a. Congestive Heart Failure
b. Cardiac tamponade
c. Pericardial effusion
d. Tricuspid incompetence
e. Superior Vena Cava obstruction |
|
|
Term
| AUSCULTATION of the aortic valve area |
|
Definition
| the 2nd Right Intercostal Space |
|
|
Term
| AUSCULTATION of the pulmonary valve area |
|
Definition
|
|
Term
| AUSCULTATION of the tricuspid valve area |
|
Definition
|
|
Term
| AUSCULTATION of the mitral valve area |
|
Definition
| 5th LICS (in the midclavicular line) |
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|
Term
|
Definition
| Normal in children and in adults under 40. May be present in CHF. |
|
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Term
|
Definition
| Always abnormal. May be present in hypertensive cardiomyopathy. |
|
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Term
|
Definition
| Summation gallop. May be present in CHF secondary to Hypertension. |
|
|
Term
| Heart murmurs occur as a result of |
|
Definition
| turbulence within the heart created by disturbed blood flow |
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|
Term
|
Definition
|
|
Term
|
Definition
Pulsus alternans
Seen in left ventricular failure |
|
|
Term
|
Definition
Pulsus paradoxus
Most common Asthma |
|
|
Term
|
Definition
Irregularly irregular pulse
Most common cause is atrial fibrillation |
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|
