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PV + TV + PHTN
1602 - Lecture 9
37
Other
Not Applicable
05/07/2008

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Cards

Term
What are the names of the TV valves?
Definition
anterior, posterior, and septal
Term
what is the most common cause of TS?
Definition
rheumatic
Term
What is it called when the TV does not form?
Definition
Tricuspid Atresia
Term
What must be present when there is Tricuspid Atresia?
Definition
A ASD and VSD
Term
What is the deisease called when the GI tumors secrete serotonin and cause the TV to remain frozen open?
Definition
Carcinoid Heart Disease
Term
What tumor is attached to the IAS?
Definition
a myxoma
Term
Does the TS murmur increase or decrease with inspiration?
Definition
increase
Term
What is the best indicator of TS?
Definition
doming of the leaflets
Term
How is TS usually treated?
Definition
balloon valvuloplasty
Term
What is the most common cause of TR?
Definition
PHTN
Term

1)What is it called when there is a displacement of the TV?

 

2)By how much must there be present?

Definition
1)Ebstein's Anomaly

2)more than 1 cm higher than the MV
Term
What will almost always be present when there is TVP?
Definition
MVP
Term
What are some 2D findings with TR? (3 of them)
Definition
RAE

dilated IVC

small RV
Term

How is TR treated?

 

Definition
valve ring or replacement
Term
What are the names of the PV?
Definition
Anterior, Right, Left
Term
What is the most common cause of PS?
Definition
congenital
Term
What does infundibular stenosis mean?
Definition
narrowing of the RVOT
Term
What murmur is associated with PS?
Definition
systolic ejection murmur at LUSB
Term
What should the "A" wave normall be in a healthy PV?
Definition
about 3mm
Term
What will you see with PHTN >40mmhg?
Definition
absent "a" wave
Term
How exaggerated is the "A" wave with PS?
Definition
> 7mm
Term
Are pressures higher in the RVOT or PA with significant PS?
Definition
RVOT
Term
What is the most common cause of PI?
Definition
PHTN
Term
What murmur is associated with PI due to severe hypertension?
Definition
Graham Steele
Term
What will you see on 2D with severe PI?
Definition
1)RVE
2)paradoxical spetal motion can occur
*3)D-sign
Term
What is the most common cause of systemic hypertension?
Definition
idiopathic
Term
What is the B/P with systemic hypertension?
Definition
> 140/90
Term
What valve should you assess with color with systemic hypertension?
Definition
aortic valve for AI if dilated
Term
What is the most common cause of Pulmonary Hypertention?
Definition
idiopathic
Term
What are most of the signs/symptoms of PHTN due to?
Definition
lack of oxygen
Term
What is it called when there is a reversal of a left to right shunt from PHTN?
Definition
Eisenmenger's Syndrome
Term
What are some 2d/M-Mode findings with PHTN?
Definition
1)RVH
2)RVE
3)Absent "A" wave
4)D-sign
Term
How is a Pulmonary Embolism classified and what does each part affect?
Definition
small - small area of lung lobe

medium - affects 1 lung lobe

large - affects 2 or more lung lobes
Term
What is the most common cause of Pulmonary Embolism?
Definition
DVT
Term
What are the 3 major risk factors called for Pulmonary Embolism and what are they?
Definition
Virchow's Triad =

1)Stasis

2)Endothelial Injury

3)Hypercoagulibilty
Term
What are some treatments for a Pulmonary Embolism?
Definition
1)thrombolysis

2)anticoagulants

3)IVC filter

4)embolectomy
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