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CV PANCE
CV word assoc for PANCE
37
Other
Graduate
05/23/2012

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Cards

Term
DOE, PND, edema. Echo w/ LVH or RVH, hypokinesis
Definition
CHF
Term
S3
Definition
CHF, dilagted cardiomyopathy
Term
High output heart failure
Definition
Pregnancy, thyrotoxicosis, anemia, beriberi, paget’s disease
Term
Low output heart failure
Definition
Ischemic heart disease, HTN, dilated CM, valve disease, arrhythmia
Term
Heart failure after URI
Definition
Myocarditis
Term
Young athlete with syncope during athletic event or practice. No physical exam abnormalities
Definition
Hypertrophic CM or fatal arrhythmia. Get EKG or Echo
Term
Alcoholic with DOE, heart failure
Definition
Primary dilated CM
Term
Alcoholic with palpitations, arrhythmia
Definition
Atrial fibrillation (Holiday heart)
Term
Irregular irregular
Definition
Atrial fibrillation; (if > 48 or chronic – anticoagulate)
Term
Atrial fibrillation or prosthetic valve
Definition
Warfarin (2 – 3 for Afib; 2.5 – 3.5 for valve); Tx Warfarin OD is vitamin K
Term
Hx angina but no acute sx. EKG no acute changes.
Definition
Do Exercise stress test
Term
Crushing CP, dyspnea, palpitations, radiation to neck or left arm
Definition
Angina (if lasts minutes), AMI if lasts > 30 minutes. Acute Ischemia – ST elevation; Injury – T wave depression; Infarct – Q wave
Term
Constant, sharp CP worse lying down, better sitting up and leaning forward
Definition
Pericarditis
Term
pulsus paradoxus
Definition
Pericardial effusion/tamponade, pericarditis, asthma attack, tension PTX, SVC obstruction
Term
Electrical alternans, narrow pulse pressure, pulsus paradoxus
Definition
Pericardial effusion/tamponade
Term
JVD, Hypotension, muffled heart sounds
Definition
Pericardial effusion/tamponade (Beck’s triad)
Term
Pericarditis post open heart surgery
Definition
Dressler’s syndrome. Tx w/ ASA #1. Indomethacin or other NSAID OK.
Term
Sudden onset ripping, tearing chest pain, diminished pulses
Definition
Aortic dissection
Term
Flank pain, hypotension, pulsatile abdominal mass
Definition
AAA
Term
EKG changes, N, V, yellow-green visual disturbances
Definition
Digoxin toxicity (Hypokalemia will make worse)
Term
Hx CHF on diuretic & digoxin
Definition
Suspect dig toxicity (hypokalemia from diuretic = dig toxicity)
Term
Grossly elevated blood pressure esp. w/ signs of EOD
Definition
Malignant or Urgent HTN
Term
HTN Tx w/ meds, cough or angioedema
Definition
ACEI is cause
Term
DM & HTN
Definition
ACEI is best choice
Term
Heart failure, LVH
Definition
ACEI (improves survival, prevents development of heart failure Sx)
Term
Post MI
Definition
Beta-blockers
Term
Tx of HTN w/ alpha-blocker
Definition
SE is postural Hypotension
Term
HTN not responsive to basic meds
Definition
Think secondary HTN most likely Renal artery stenosis (infrarenal artery).
Term
Mechanical valve or prosthesis & Dental, GU, GI, or ortho procedure prophylaxis
Definition
Bacterial endocarditis (strep. Viridians) prevention
Term
IVDA w/ new murmur
Definition
Bacterial endocarditis (strep. Viridians)
Term
Elderly w/ systolic murmur
Definition
Aortic stenosis (due to calcifications – age related (or bicuspid valve - congenital)
Term
Diamond shaped, blowing systolic murmur. May have angina, syncope, CHF
Definition
Aortic stenosis
Term
Lateral displaced PMI, Canon “a” waves, Quincke’s pulse, Corrigan’s pulse, Austin flint murmur, deMusset’s sign, water
Definition
Aortic Regurgitation/Insufficiency: Quincke’s pulse (subungual capillar pulsation), Corrigan (rapid rise and fall), Austin filnt (low pitch middiastolic murmur at apex)
Term
Diastolic murmur best heart at apex without radiation
Definition
Mitral stenosis (ARMS are BAD)
Term
Systolic ejection murmur heard best at base with radiation to left clavicle
Definition
Pulmonary stenosis
Term
Female or Post MI, systolic murmur best @ apex preceded by click without radiation
Definition
Mitral valve prolapse
Term
Systolic murmur heard best at apex with radiation to left axilla (apical systolic)
Definition
Mitral regurgitation
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