Term
| Difference between a Swan-Ganz cath and a CVP? |
|
Definition
-Swan measures LV fxn (indirectly)
-CVP measures RV fxn |
|
|
Term
| Reasons for inserting a Swan? |
|
Definition
-Used for true hemodynamic monitoring
-Maximize CO and tissue O2
-Relieve or prevent pulmonary abnormalities |
|
|
Term
| What does the A-Wave represent? |
|
Definition
|
|
Term
| What does the C-Wave represent? |
|
Definition
|
|
Term
| What does the X-Descent represent? |
|
Definition
|
|
Term
| What does the V-Wave represent? |
|
Definition
|
|
Term
| What does the Y-Descent represent? |
|
Definition
|
|
Term
|
Definition
Decreases O2 demand of the heart while increasing O2 supply to the heart
-Inflates at onset of diastole and forces blood back towards heart so that coronaries are perfused and then deflates during systole in order to decreased SVR and aortic systolic pressure |
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|
Term
| What's the best conduit in a CABG? |
|
Definition
|
|
Term
|
Definition
Pulmonary Venous HTN --> Dyspnea
Increased JVP
Diastolic murmur with OPENING SNAP |
|
|
Term
| Causes of Mitral Stenosis? |
|
Definition
|
|
Term
| S&S of Mitral Regurgitation? |
|
Definition
LV and LA enlargement
Possible AFib |
|
|
Term
|
Definition
Myxomatous Degeneration
Mitral Valve Prolapse
Infective endocarditis |
|
|
Term
| S&S of Aortic Valve Stenosis? |
|
Definition
Angina Pectoris
Syncope
CHF |
|
|
Term
| Causes of Aortic Stenosis? |
|
Definition
Congenital
Degenerative calcific stenosis |
|
|
Term
| S&S of Aortic Valve Regurg/Insufficiency? |
|
Definition
Usually present with severe CHF and pulmonary edema
Diastolic pressure is low (Corrigan's pulse)
Blowing high pitched diastolic murmur |
|
|
Term
|
Definition
Abnormal coaptation of leaflets
Endocarditis
Traua |
|
|
Term
| Most common cause of Sub-acute Endocarditis? |
|
Definition
|
|
Term
| Most common cause of Acute Endocarditis? |
|
Definition
|
|
Term
| What is May Thurner Syndrome? |
|
Definition
| Left iliac compressed by Right iliac - Risk of DVT |
|
|
Term
|
Definition
Usually a R->L Shunt
-Pulmonary stenosis
-Right ventricular hypertrophy
-Overriding aorta
-Ventricular septal defect |
|
|
Term
| When is a reverse saphenous vein graft used? |
|
Definition
|
|
Term
| What is the most common cause of ulcers in the LEs? |
|
Definition
|
|
Term
| Gold standard for venous stasis? |
|
Definition
|
|
Term
| Gold standard for arterial dz? |
|
Definition
|
|
Term
|
Definition
Mid systolic ejection murmur
Heard at R 2nd ICS |
|
|
Term
|
Definition
Corrigan's pulse
High pitched diastolic murmur |
|
|
Term
|
Definition
Mid-diastolic opening snap
Heard at apex |
|
|
Term
|
Definition
High pitched, holosystolic
Apex |
|
|
Term
|
Definition
Type I - Ascending and descending
Type II - Ascending only
Type III - Descending only |
|
|
Term
| Blue babies have what type of shunt? |
|
Definition
|
|
Term
| What R -> L shunt also increases pulmonary artery blood flow? |
|
Definition
|
|
Term
| What is a blalock taussing shunt? |
|
Definition
Used in cyanotic CHDs - Tetralogy of Fallot
Temporary fix - used Subclavian or carotid to pulmaonry artery to get more blood to lungs |
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|
Term
|
Definition
|
|
Term
| What is the most common symptom of CAD? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Reproducible pain in legs with walking and relieved with rest |
|
|
Term
| What is the most common cause of SB Endocarditis in non-IV drug users and pt with native valves? |
|
Definition
|
|
Term
| What is the best way to diagnose bacterial endocarditis? |
|
Definition
|
|
Term
| What is the definition of an aortic and arterial aneurysm? |
|
Definition
|
|
Term
| What type of graft for ascending aortic aneurysm? |
|
Definition
Compromised = Composite graft
Good valve = woven Dacron graft |
|
|
Term
| Statistically which is the best graft for CABG? |
|
Definition
|
|
Term
| What is the most common complication of lung resection? |
|
Definition
|
|
Term
|
Definition
| Indirect measure of preload |
|
|
Term
| What do we fear most after CEA? |
|
Definition
|
|
Term
| How do we measure unfractioned heparin? |
|
Definition
|
|
Term
| Treatment for a patient with h/o DVT and VQ scan now shows PE. Pt also has recent anemia form GI bleed? |
|
Definition
|
|
Term
| What is the most common arrhythmia? |
|
Definition
|
|
Term
| Which valve requires lifelong anti-coagulation? |
|
Definition
|
|
Term
| 17yom with severe AS and recent PMH of bleeding gastric ulcer is to undergo AVR. What is the most appropriate valve to use? |
|
Definition
|
|
Term
| What is the most important tool in working a pt up for a CABG? |
|
Definition
|
|
Term
|
Definition
5T's
Tetralogy of Fallot
Transposition of Vessels
Tricuspid atresia
TAPVD
Truncus arteriosus |
|
|
Term
|
Definition
ASD
VSD
PDA
Aortic/Mitral Stenosis
Coarctation of Aorta |
|
|
Term
|
Definition
Tx: Malignant cells but no tumor
T1: <3cm
T2: >3cm or mainstem bronchus
T3: Invading chest wall
T4: Invading everything else |
|
|
Term
|
Definition
N0: No mets
N1: Mets to Ipsilateral peribronchial/hilar nodes
N2: Mets to ipsilateral mediastinal/subcarinal nodes
N3: Mets to CONTRAlateral side |
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