Term
| Flank pain, hypotension, pulsatile abdominal mass |
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Definition
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|
Term
|
Definition
| ACEI (improves survival, prevents development of heart failure Sx) |
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|
Term
|
Definition
|
|
Term
| HTN Tx w/ meds, cough or angioedema |
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Definition
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|
Term
| Blue extremities worse w/ cold exposure, improves w/ warming |
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Definition
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Term
| Crushing CP, dyspnea, palpitations, radiation to neck or left arm |
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Definition
| Angina (if lasts minutes), AMI if lasts > 30 minutes. Acute Ischemia – ST elevation; Injury – T wave depression; Infarct – Q wave |
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Term
| Sudden onset ripping, tearing chest pain, diminished pulses |
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Definition
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Term
| Lateral displaced PMI, Canon “a” waves, Quincke’s pulse, Corrigan’s pulse, Austin flint murmur, deMusset’s sign, water |
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Definition
| Aortic Regurgitation/Insufficiency: Quincke’s pulse (subungual capillar pulsation), Corrigan (rapid rise and fall), Austin filnt (low pitch middiastolic murmur at apex) |
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Term
| Diamond shaped, blowing systolic murmur. May have angina, syncope, CHF |
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Definition
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|
Term
| Elderly w/ systolic murmur |
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Definition
| Aortic stenosis (due to calcifications – age related (or bicuspid valve - congenital) |
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Term
| LE rubor, no hair, brittle nails, pallor on elevation, calf or LE pain esp. with walking short distances relieved with rest or at PM |
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Definition
| Arterial insufficiency/PAD, Intermittent claudication (ABI best choice, ateriogram gold standard) |
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|
Term
| Alcoholic with palpitations, arrhythmia |
|
Definition
| Atrial fibrillation (Holiday heart) |
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|
Term
|
Definition
| Atrial fibrillation; (if > 48 or chronic – anticoagulate) |
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|
Term
|
Definition
| Bacterial endocarditis (strep. Viridians) |
|
|
Term
| Mechanical valve or prosthesis & Dental, GU, GI, or ortho procedure prophylaxis |
|
Definition
| Bacterial endocarditis (strep. Viridians) prevention |
|
|
Term
|
Definition
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|
Term
| DOE, PND, edema. Echo w/ LVH or RVH, hypokinesis |
|
Definition
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|
Term
|
Definition
| CHF, dilagted cardiomyopathy |
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|
Term
| Peds w/ leg pain after physical activity, abnormal heart sounds, unequal UE & LE pulses, rib notching |
|
Definition
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|
Term
| EKG changes, N, V, yellow-green visual disturbances |
|
Definition
| Digoxin toxicity (Hypokalemia will make worse) |
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|
Term
| Hx angina but no acute sx. EKG no acute changes. |
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Definition
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|
Term
| Pericarditis post open heart surgery |
|
Definition
| Dressler’s syndrome. Tx w/ ASA #1. Indomethacin or other NSAID OK. |
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|
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
|
Definition
| Ischemic heart disease, HTN, dilated CM, valve disease, arrhythmia |
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|
Term
| Grossly elevated blood pressure esp. w/ signs of EOD |
|
Definition
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|
Term
| Young female (<30yo), palpitations, long arms & fingers, pectus excavatum, ectopic lentis, flexible joints |
|
Definition
| Marfan’s Syndrome – MVP, Aortic regurgitation, Aortic dissection, Aortic root dilatation, ectopic lentis |
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|
Term
| Systolic murmur heard best at apex with radiation to left axilla (apical systolic) |
|
Definition
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|
Term
| New murmur after MI (esp. if apical systolic) |
|
Definition
| Mitral regurgitation (caused by papillary muscle rupture) |
|
|
Term
| Murmur & Hx rheumatic heart disease |
|
Definition
| Mitral stenosis #1, Tricuspid Stenosis #2 |
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|
Term
| Diastolic murmur best heart at apex without radiation |
|
Definition
| Mitral stenosis (ARMS are BAD) |
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|
Term
| Female or Post MI, systolic murmur best @ apex preceded by click without radiation |
|
Definition
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|
Term
|
Definition
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|
Term
| Continuous harsh, machine-like murmur |
|
Definition
|
|
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
|
Definition
| Pericardial effusion/tamponade, pericarditis, asthma attack, tension PTX, SVC obstruction |
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|
Term
| Constant, sharp CP worse lying down, better sitting up and leaning forward |
|
Definition
|
|
Term
| High output heart failure |
|
Definition
| Pregnancy, thyrotoxicosis, anemia, beriberi, paget’s disease |
|
|
Term
| Alcoholic with DOE, heart failure |
|
Definition
|
|
Term
| Systolic ejection murmur heard best at base with radiation to left clavicle |
|
Definition
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|
Term
| Tx of HTN w/ alpha-blocker |
|
Definition
| SE is postural Hypotension |
|
|
Term
| Hx CHF on diuretic & digoxin |
|
Definition
| Suspect dig toxicity (hypokalemia from diuretic = dig toxicity) |
|
|
Term
| Trendelenberg test of extremities |
|
Definition
| Tests for veinous insufficiency. |
|
|
Term
| Cyanotic infant with systolic thrill @ LSB, systolic ejection murmur +/- click |
|
Definition
|
|
Term
| HTN not responsive to basic meds |
|
Definition
| Think secondary HTN most likely Renal artery stenosis (infrarenal artery). |
|
|
Term
| Claudication with rest pain, (ABI < 0.4) |
|
Definition
|
|
Term
| LE pain after long periods of standing. Dilated, tortuous, veins |
|
Definition
| Varicose veins. Tx w/ compression stockings |
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|
Term
| Holosystolic murmur @ LSB, may have ventricular hypertrophy |
|
Definition
|
|
Term
| Infant w/ dyspnea, difficulty feeding. Holosystolic murmur @ LSB, 3rd ICS. LVH & RVH |
|
Definition
|
|
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
| Short PR, wide QRS, Delta wave |
|
Definition
| Wolf-parkinson-white; avoid Digoxin, |
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