Cardio

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Author:
rs8187
ID:
228575
Filename:
Cardio
Updated:
2013-08-04 23:59:01
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Cardio
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Description:
Cardio
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  1.  Aortic regurgitation
    blowing diastolic murmur at the left sternal border with a mid-diastolic rumble

    Wide pulse pressure

    • Dx: trans-esophogeal echocardiogram
    •  
    • Tx: Ca channel blockers, ACE (chronic)
  2. Austin-Flint sign
    In aortic regurgitation: The Austin-Flint murmur is due to blood flowing backwards through the aortic valve and hitting the anterior leaflet of the mitral valve. 


    Primary indication for valve replacement.
  3. Duroziez’s sign
    femoral bruit heard while auscultating the femoral artery
  4. Reactive arthritis
     
  5. Circumflex coronary artery occlusion
    • ECG: ST segment elevation in leads II, III and aVF corresponding to the inferior wall + st elevations leads I, V5, and V6, which correspond the the lateral wall of the heart.
    • This is an inferolateral STEMI

    Circumflex -branch of the left main coronary artery and supplies the lateral wall of the myocardium, supplies the inferior wall (known as a dominant circumflex, occurs 15% of the time).
  6. CHF Tx
    • ACE
    • beta blockers

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