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Harsh blowing holosytolic murmur, S3, Wide split S2. Type of murmur?
Opening snap after S2, Diastolic rumble, Loud S1, possible a-fib.
Bounding pulses, S3, widened pulse pressure, early diastolic decrescendo murmur @ apex/l sternal border; capillary pulses in nail beds.
Weak prolonged pulse, weak S2, valsalva decreases murmur, dilated Aorta on CXR, ejection click
Which murmur is associated with panic disorder?
S4, systolic murmur, apical impulse; Boot heart on CXR.
Hypertrophic obstructive Cardiomyopathy
S3, systoic and diastolic murmurs possible, balloon like heart on CXR.
CHF symptoms, Ascites, JVD; normal heart on CXR.
Restrictive (Sarcoidosis or Amyloidosis)
Pansystolic murmur at lower left sternal border, loud pulmonic S2, systolic thrill
Strong impulse over lower L sternal border, wide fixed split S2, systolic ejection murmur at upper left sternal border
Wide pulse pressure, continuous murmur at second L intercostal space, loud S2, bounding pulses
Early cyanosis, dyspnea, fatigue, child squats for relief during hypoxemic event; systolic ejection murmur at left sternal border; single S2.
Tetralogy of Fallot
Name three a-blockers. What are the side effects?
- Prazosin, Doxazosin, terazosin
- SE: postural hypotension, headache, rebound HTN
What are the side effects of beta blockers?
- sexual dysfunction
- HDL reduction
- increased Triglycerides
Give examples of Ca channel blockers. What are the side effects?
- Nondihydropyridines: Diltiazem, verapamil
- Dihydropyridines: nifedipine, amlodapine
- SE: Hypotension, headache, constipation, increased reflux
What are the side effects of statins?
What are the effects of statins?
- Big decrease in LDL
- Little increase in HDL
- Little decrease in trig
Benefits and side effects of Ezetimibe?
- decreases LDL
- can cause myalgias
Name two fibric acids. Benefits. Side effects.
- Gemfibrozil, Fenofibrate
- Big decrease in trig, mod decrease in LDL
- SE: Myositis, increase LFT
Benefits of Niacin? Side effects?
- Increases HDL, Mod decrease to LDL
- SE: facial flushing, nausea, paresthesias, pruritis, insulin resistance, increased gout