answers
CAD major risk factors - CORRECT ANSWERS ✔✔HTN, smoking,
|\ |\ |\ |\ |\ |\ |\ |\ |\
obesity, physical inactivity, dyslipidemia, diabetes,
|\ |\ |\ |\ |\
Microalbuminuria, GFR <60, age (>55men, >65 women), Fam hx |\ |\ |\ |\ |\ |\ |\ |\ |\
of premature cardiac dx
|\ |\ |\
Etiology of AS - CORRECT ANSWERS ✔✔Congenital and senile
|\ |\ |\ |\ |\ |\ |\ |\ |\
calcifications
AR etiologies - CORRECT ANSWERS ✔✔HTN, aortic dissection,
|\ |\ |\ |\ |\ |\ |\ |\
syphilis, collagen vascular disorders |\ |\ |\
MR etiologies - CORRECT ANSWERS ✔✔rupture chordae tendinae,
|\ |\ |\ |\ |\ |\ |\
CAD, MVP, infectious endocarditis
|\ |\ |\ |\
AS characteristics - CORRECT ANSWERS ✔✔*increased with pt
|\ |\ |\ |\ |\ |\ |\ |\
leaning forward |\
*crescendo-decrescendo/diamond shaped murmur |\ |\
*radiates to neck |\ |\
*Early systolic "click" |\ |\
Most common cause of AS? - CORRECT ANSWERS ✔✔calcification
|\ |\ |\ |\ |\ |\ |\ |\
of a normal trileaflet or congenital bicuspid valve
|\ |\ |\ |\ |\ |\ |\ |\
, MR characteristics - CORRECT ANSWERS ✔✔Radiates to chest
|\ |\ |\ |\ |\ |\ |\ |\
and axilla |\
*high pitch with blowing quality
|\ |\ |\ |\
*pansystolic regurg murmur with thrill |\ |\ |\ |\
Standing will decrease murmur, squeezing both hands will
|\ |\ |\ |\ |\ |\ |\ |\
increase murmur |\
MR complications - CORRECT ANSWERS ✔✔afib - affects approx
|\ |\ |\ |\ |\ |\ |\ |\ |\
75% with MR |\ |\
systolic embolization |\
bacterial endocarditis |\
Most common cause of MR? - CORRECT ANSWERS ✔✔MVP
|\ |\ |\ |\ |\ |\ |\ |\
Prophy antibiotics? - CORRECT ANSWERS ✔✔invasive procedures
|\ |\ |\ |\ |\ |\ |\
and dental cleaning if MR and MVP
|\ |\ |\ |\ |\ |\
CHF s/sx - CORRECT ANSWERS ✔✔Cough at first nonproductive
|\ |\ |\ |\ |\ |\ |\ |\ |\
at night, progressing to frequent cough productive of pink frothy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sputum
orthopnea
What is diabetes equitable to? - CORRECT ANSWERS ✔✔Heart
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease
-assumed the patient with DM already has microvascular dx
|\ |\ |\ |\ |\ |\ |\ |\ |\
processes in place |\ |\