Questions & Answers (100% Verified)
For a patient with hyperthyroidism, what arrhythmias & blood pressure would they
typically have? - ANSWER - Arrhythmias found in these patients are atrial fibrillation,
sinus tachycardia and Congest Heart Failure. Increased blood pressure would be an
indication of a person.
What might a person with Pickwickian syndrome look like? - ANSWER - Patients
usually are snoring and may stop breathing
What other comorbidities might this patient have of Pickwickian syndrome? - ANSWER
- These individuals seem to have systemic and pulmonary hypertension, along with
heart failure and cardiac arrhythmias.
Ejection Fraction - ANSWER - ____________ is the most commonly available measure
of cardiac function
Contractility - ANSWER - _________is the inotropic state of the thickest part of the
heart
cachectic patient - ANSWER - Patients lose excessively fast weight loss may result in
muscle wasting which leads to cachectic. Signs of an cachectic patient appear with
raised neck veins, edematous legs and ascites. These patients may also be suffering
from Congestive Heart Failure in the last stages.
In a patient with CHF, what might be signs of acute pericarditis? - ANSWER - Patients
with Congestive Heart Failure have symptoms ranging from chest pain to light
respirations to bending forward.
Pectus excavatum - ANSWER - has a funnel type chest
Straight back - ANSWER - looks as if their back is leveled completely straight
Pectus carinatum - ANSWER - is a bulge resembling a pigeon
What might be possible signs & symptoms of a young female with underlying mitral
valve prolapse? - ANSWER - Women will have a straight back with a pectus chest
formity. Along with shortness of breath and panic attacks. They become exhausted,
worried and complain of chest pains while having palpitations.
Cyanosis - ANSWER - is an irregular bluish tint of the skin that stems in arterial oxygen
saturation less than 85%
,Patients with congenital heart disease have cyanosis in which part of their body? -
ANSWER - Cyanosis is found near the cheeks, eyes and nails of patients with
Congential Heart Disease.
Patient with severe circulatory failure & low cardiac output have cyanosis in which part
of their body? - ANSWER - A flush over the cheeks (face) presents signs of severe
circulatory failure and low cardiac output have cyanosis.
Coronary Prone - ANSWER - is a short, balding, overweight, sedentary, chain smoking
middle aged older male, or postmenopausal female consuming large quantities of high
fat, cholesterol laden foods, stigmata of CAD factors, nicotine stained fingers or teeth
Acute MI - ANSWER - restless, anxious, agitated, thrashing in bed to become
comfortable
Exertional Related Angina Pectoris - ANSWER - remain quiet and sit or stand still in an
effort to obtain relief, reorganizing that movement may enhance chest pain.
Respiratory distress - ANSWER - are characterized by dyspnea, orthopnea, dry non-
productive cough, and wheezing "cardiac asthma" dominate by ischemic LV dysfunction
or significant MR.
The person may appear tachypneic, sitting bolt upright in bed, gasping and for
struggling for breath, coughing up frothy pink sputum if acute "flash" pulmonary edema
ensues.
What are some signs of low cardiac output? - ANSWER - signs are cold clammy skin,
marked facial pallor, cyanosis of lips and nail beds, and bluish-red mottling of the
extremities
What treatments reverse sleep apnea? - ANSWER - can be treated with proper care of
continuous positive airway pressure therapy.
Marfan's Syndrome - ANSWER - Patients with have an extra long wing arm span and
extended fingers.
President Abraham Lincoln had Marfan's Syndrome
arachnodactyly - ANSWER - It is correlated with the top part. The thumb is able to
rotate further than the ulnar part in the hand.
Thumb sign - ANSWER - The ability to reach the bottom of your hand with your thumb.
hypothyroidism - ANSWER - The decline in cholesterol, triglyceride, and have sinus
bradycardia.
, What are physical characteristics of a patient with hypothyroidism? - ANSWER -
Individuals, who talk with a rough voice, walk slow and have bushy hair.
What are physical characteristics of a patient with hyperthyroidism? - ANSWER -
Physical characteristics of a patient with hyperthyroidism have a slim body, glossy hair,
and protruding eyes.
Patients with systemic emboli present with cyanosis in which part of their body? -
ANSWER - These signs are seen in fingers, toes and small regions on the skin.
The brick-red color of polycythemia may be evidence of which conditions? - ANSWER -
The brick-red color of polycythemia is present in hypertension vascular thrombosis and
acute MI
What type of patients may present with clubbing of the digits? - ANSWER - Patients
with clubbing of the digits usually have lung cancer
Define jaundice & identify what type of patients may have this condition. - ANSWER -
Jaundice is a yellowish shade of the skin.
Jaundice is seen among patients with right-sided heart failure with hepatic impairment.
What type of patients may present with malar flush (pinkish-purple patches)? -
ANSWER - Patients with malar flush (pinkish-purple patches) have dilation of the malar
capillaries, as well as long standing rheumatic mitral facies. This is linked to pulmonary
hypertension and small cardiac output.
Patients with systemic lupus erythematoseus will present with what type of rash? -
ANSWER - A rash on the face, primarily surrounding the nose and cheeks also called
butterfly rash.
The internal jugular vein acts as a _______ - ANSWER - The internal jugular vein acts
as a manometer of right atrial pressure.
The back up blood increases central venous pressure by: - ANSWER - The back up
blood increases central venous pressure by:
1) Right HF due to primary or secondary pulmonary hypertension (corpulmonale)
2) Left sided HF that backs up and results in high right sided filling pressure
3) RV infarction, tricuspid valve disease, constrictive pericarditis or cardiac tamponade.