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LECTURE 6
CARDIOLOGY
83
Medical
Professional
08/23/2013

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Term
CYANOTIC HEART DISEASE
Definition
1- TRUNCUS ARTERIOSIS
2- TRANSPOSITION OF GREAT VESSELS
3- TRICUSPIC ATRESIA
4- TETRALOGY OF FALLOT
5- TOTAL ANOMALOUS PULMONARY VENOUS RETURN
6- HYPOPLASTIC LEFT HEART SYNDROME
7- EPSTEIN'S ANOMALY
8- AORTIC ATRESIA
9- PULMONIC ATRESIA
Term
CAUSES OF WIDENED S2
Definition
- INCREASED pO2
- INCREASED VOLUME OF RT.VENTRICLE
- BLOOD TRANSFUSION
- SUPPLEMENTAL O2
- PREGNANCY
- I.V. FLUIDS
- ASD (FIXED SPLIT)
- DEEP BREATHING
Term
AVM (MACHINERY MURMUR)
IN HEART
Definition
PDA
Term
AVM (MACHINERY MURMUR)
ELBOW
Definition
DIALYSIS FISTULA
Term
AVM (MACHINERY MURMUR)
BRAIN
Definition
VON HIPPEL-LINDAU
Term
AVM (MACHINERY MURMUR)
LUNGS
Definition
OSLER-WEBER-RENDU
Term
HEART BLOCK CLUE
Definition
PAIN WITH A NORMAL HEART RATE
HR SHOULD INCREASE BY 10BPM FOR EVERY 1 DEGREE INCREASE IN TEMPERATURE
Term
MAXIMUM SINUS RATE
Definition
220-AGE IN YRS
Term
IONS AND THE EKG
P-WAVE
Definition
CA++
Term
IONS AND THE EKG
QRS COMPLEX
Definition
Na+
Term
IONS AND THE EKG
ST INTERVAL
Definition
CA++
Term
IONS AND THE EKG
T-WAVE
Definition
K+
Term
IONS AND THE EKG
U-WAVE
Definition
Na
Term
MC NON-CYANOTIC CONGENITAL HEART DISEASE
Definition
VSD
ASD
PDA
COARCTATION OF AORTA
Term
PANSYSTOLIC MURMUR
Definition
MITRAL REGURGITATION
TRICUSPID REGURG
VENTICULAR SEPTAL DEFECT
Term
MI ENZYMES
TROPONIN I
Definition
APPEARS 2HRS
PEAKS 2 DAYS
GONE 7 DAYS
Term
CKMB
Definition
APPEARS 6 HRS
PEAKS 12 HRS
GONE 2 DAYS
Term
LDH
Definition
APPEARS 1 DAY
PEAKS 2 DAYS
GONE 3 DAYS
Term
WHAT ORGANS HAVE RESISTANCE IN SERIER?
Definition
LIVER, KIDNEY
Term
WHAT ORGANS HAVE RESISTANCE IN PARALLEL?
Definition
ALL THE REST
Term
WHAT ORGAN HAS THE HIGHEST A-V O2 DIFFERENCE AT REST?
Definition
HEART
Term
WHAT ORGAN HAS THE HIGHEST A-V O2 DIFFERENCE AFTER EXERCISE?
Definition
MUSCLE
Term
WHAT ORGAN HAS THE HIGHEST A-V O2 DIFFERENCE AFTER A MEAL?
Definition
GUT
Term
WHAT ORGAN HAS THE HIGHEST A-V O2 DIFFERENCE DURING A TEST?
Definition
BRAIN
Term
WHAT HAS A LOWEST A-V O2 DIFFERENCE?
Definition
KIDNEY
Term
WHERE DOES TYPE A THORACIC AORTIC DISSECTION OCCUR?
Definition
ASCENDING AORTA (CYSTIC MEDIAL NECROSIS, SYPHILIS)
Term
WHERE DOES TYPE B THORACIC AORTIC DISSECTION OCCUR?
Definition
DESCENDING AORTA (TRAUMA, ATHEROSCLEROSIS)
Term
WHAT LAYERS DOES A TRUE AORTIC ANEURYSM INVOLVE?
Definition
INTIMA, MEDIA, AND ADVENTITIA
Term
WHAT LAYERS DOES A PSEUDO AORTIC ANEURYSM INVOLVE?
Definition
INTIMA AND MEDIA
Term
WHAT IS PULSE PRESSURE?
Definition
SYSTOLIC P- DIASTOLIC P
Term
WHAT VESSEL HAS THE THICKET LAYER OF SMOOTH MUSCLE?
Definition
AORTA
Term
WHAT VESSELS HAVE THE MOST SMOOTH MUSCLE?
Definition
ARTERIOLES
Term
WHAT VESSELS HAVE THE LARGEST CROSS-SECTIONAL AREA?
Definition
CAPILLARIES
Term
WHAT VESSEL HAS THE HIGHEST COMPLIANCE?
Definition
AORTA
Term
WHAT VESSELS HAVE THE HIGHEST CAPACITANCE?
Definition
VEINS AND VENULES
Term
WHAT IS YOUR MAX HEART RATE?
Definition
220-AGE
Term
WHAT IS STABLE ANGINA?
Definition
PAIN ON EXERTION (ATHEROSCLEROSIS0)
Term
WHAT IS UNSTABLE ANGINA?
Definition
PAIN AT REST (TRANSIENT CLOTS), OR FIRST EVENT
Term
WHAT IS PRINZMETAL ANGINA?
Definition
INTERMITTENT PAIN (CORONARY ARTERY SPASM)
Term
WHAT STAIN IS USED TO SEE AMYLOIDOSIS?
Definition
CONGO RED (APPLE GREEN BIREFRINGENCE)
Term
WHAT IS HEMOCHROMATOSIS?
Definition
FE DEPOSITION IN ORGANS=> HYPERPIGMENTATION, ARTHRITIS, DM
Term
WHAT IS CARDIAC TAMPONADE?
Definition
PRESSURE EQUALISES IN ALL 4 CHAMBERS
QUIET PRECORDIUM
NO PULSE OR BP
KUSSMAHL'S SIGN(DROP SYSTOLIC P>10MMHG ON INSPIRATION)
Term
WHAT IS A TRANSUDATE?
Definition
EFFUSION OF MOSTLY WATER
- TOO MUCH WATER: HEART FAIURE, RENAL FAILURE
-NOT ENOUGH PROTEIN:CIRRHOSIS, NEPHROTIC SYNDROME
Term
WHAT IS EXUDATE?
Definition
EFFUSION OF MOSTLY PROTEIN
PURULNT: BACTERIA
HEMORRHAGIC:TRAUMA, CANCER, PE
FIBRINOSIS: COLLAGEN VASCULAR DISEASE, UREMIA.
GRANULOMATOUS:NON-BACTERIAL
Term
WHAT IS SYSTOLE?
Definition
VENTRICLES CONTRACT
LOW BLOOD FLOW TO THE CORONARY ARTERIES
HIGH OXYGEN EXTRACTION
Term
WHAT IS DIASTOLE?
Definition
VENTRICLES RELAX&FILL
HIGH BLOOD FLOW TO CORONARY ARTERIES
LOW OXYGEN EXTRACTION
Term
WHAT ARE THE ONLY ARTERIES WITH DE0XYGENATED BLOOD?
Definition
PULMONARY AND UMBIICATED ARTERIES
Term
WHAT MURMUR HAS WATERHAMMER PULSE?
Definition
AR
Term
WHAT MURMUR HAS PULSES TARDUS?
Definition
AS
Term
WHAT CARDIOMYOPATHY HAS PULSES ALTERNANS?
Definition
DILATED CARDIOMYOPATHY
Term
WHAT DISEASE HAS PULSES BIGEMINUS?
Definition
IDIOPATHIC HYPERTROPHIC SUB-AORTIC STENOSIS
Term
WHAT MURMUR HAS AN IRREGULARLY IRREGULAR PULSE?
Definition
A FIB
Term
WHAT MURMUR RADIATES TO THE CAROTID?
Definition
AS, AR
Term
WHAT MURMURS RADIATES TO THE AXILLA?
Definition
MR
Term
WHAT MURMUR RADIATES TO THE BACK ?
Definition
PS
PULMONARY STENOSIS
Term
WHAT DISEASE HAS BOOT SHAPED X-RAY?
Definition
RIGHT VENTRICLE HYPERTROPHY
Term
WHAT DISEASE HAS BANANA SHAPED X-RAY?
Definition
IHSS
Term
WHAT DISEASE HAS AN EGG SHAPED X-RAY?
Definition
TRANSPOSITION OF GREAT VESSELS
Term
WHAT DISEASE HAS SNOWMAN SHAPED XRAY?
Definition
TOTAL ANOMALOUS PULMONARY VENOUS RETURN
Term
WHAT DISEASE HAS A 3 SHAPED X-RAY?
Definition
AORTIC COARCTATION
Term
WHAT IS OSLER-WEBER RENDU?
Definition
AVM IN LUNG, GUT, CNS, (SEQUESTER PLATELETS=>TELANGECTASIA)
Term
WHAT IS VON HIPPEL-LINDAU?
Definition
AVM IN HEAD , RETINA (HIGH RISK OF RENAL CELL CA)
Term
WHEN DO VALVES MAKE NOISE?
Definition
CLOSURE
Term
WHAT VALVES MAKE NOISE AT THE START OF SYSTOLE?
Definition
M&T (S1)
Term
WHAT MURMURS OCCUR DURING SYSTOLE?
Definition
HOLOSYSTOLIC (PANSYSTOLIC)- MR, TR, VDS
EJECTION - AS, PS, HCM
Term
WHAT VALVES MAKE NOISE AT THE START OF DIASTOLE?
Definition
A & P (S2)
Term
WHAT ARE THE DIASTOLIC MURMURS?
Definition
BLOWING- AR, PR
RUMBLING-MS, TS
Term
WHICH MURMURS ARE CONTINUOUS?
Definition
PDA, AVM
Term
WHAT HAS A FRICTION RUB WHILE BREATHING?
Definition
PLEURITIS
Term
WHAT HAS A FRICTION RUB WHEN HOLDING YOUR BREATH?
Definition
PERICARDITIS
Term
WHAT DOES A MID-SYSTOLIC CLICK TELL YOU?
Definition
MVP
Term
WHAT DOES AN EJECTION CLICK TELL YOU?
Definition
AS, PS
Term
WHAT DOES AN OPENING SNAP TELL YOU?
Definition
MS, TS
Term
WHAT DOES S2 SPLITTING TELL YOU?
Definition
NORMAL ON INSPIRATION (B/C PULMONIC VALVE CLOSES LATER)
Term
WHAT DOES WIDE S2 SPLITTING TELL YOU?
Definition
HIGH OXYGEN, INCREASED RV VOLUME, OR DELAYED PV OPENING
Term
WHAT DOES FIXED WIDE SPLITTING OF S2 TELL YOU?
Definition
ASD
Term
WHAT IS COR PULMONALE?
Definition
PULMONARY HTN->RV FAILURE
Term
WHAT IS EISENMENGER'S
Definition
PULMONARY HTN=> REVERSE L-R TO R-L SHUNT
Term
WHAT IS TRANSPOSITION OF GREAT VESSELS?
Definition
AORTICOPULMONARY SEPTUM DID NOT SPIRAL
Term
WHAT IS TETRALOGY OF FALLOT?
Definition
OVERRIDING AORTA (ON IVS OVER THE VSD, ENCROACHING PV)
PS - PROGNOSTIC (TET SPELLS)
VSD (L-R SHUNT)
Term
WHAT IS TRUNCUS ARTERIOSUS?
Definition
SPIRAL MEMBRANE DIDNT DEVELOP (NEURAL CREST ORIGIN)
ONE A/P TRUNK (MIXED BLOOD)
Term
WHAT IS EPSTEIN ANOMALY?
Definition
TRICUSPID SITS VERY LOW (LARGE RIGHT ATRIA)
TERATOGENIC EFFECT OF LITIUM
Term
WHAT IS CINCHONISM?
Definition
HEARING LOSS, TINNITUS, THROMBOCYTOPENIA
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