15/09/2025, 00:04
Clin Med (Pulm) Exam
the right ventricle what does cor pulmonale refer to
doesn't work as
well (either dilated
or hypertrophied)
because of pulm
hypertension
- the lung (COPD) cor pulmonale can be caused by
- the vasculature diseases of... (give examples for each)
(idiopathic
pulmonary arterial
hypertension)
- the upper airway
(OSA)
- chest wall
(kyphoscoliosis)
COPD what is the number one cause of cor pulmonale
slow progression what does the progression of Cor Pulmonale
and chronic (unless look like
a new acute
process like a PE
1/11
,15/09/2025, 00:04
compounds)
1) Dyspnea on findings of cor pulmonale (what are they mostly
exertion caused by)
2) lethargy
3) exertional syncope
4) exertional angina
5) hypoxemia
6) anorexia & RUQ
discomfort
7) systemic venous
HTN -> elevated
JVP with a
prominent v- wave, a
RV gallop,
peripheral edema,
and (rarely) ascites
(mostly caused by
the primary lung
disease more than
the right heart
dysfunction)
passive what causes RUQ discomfort with cor
congestion of the pulmonale
liver and bowel
because of RV not
working
right heart failure all cor pulmonale is ___ but not all ___ is cor
2/11
,15/09/2025, 00:04
pulmonale
3/11
, 15/09/2025, 00:04
a disease with an what does an essential disease mean
unknown cause
elevated pulmonary what is pulmonary hypertension characterized
arterial pressure by
which causes
secondary right
ventricular failure
it's life threatening what is the prognosis of pulmonary
and has a poor hypertension
prognosis if
untreated
PAP >25 mmhg at how to define pulmonary hypertension
rest obtained with a
right heart cath
8-20 mmhg what is a normal PAP
arteriolar problems: what are the causes of pulmonary hypertension
- idiopathic
- hereditary
- drugs
- connective
tissue disease
(rheumatoid
arthritis, lupus,
scleroderma)
problems outside
arterioles:
- mitral valve
4/11
Clin Med (Pulm) Exam
the right ventricle what does cor pulmonale refer to
doesn't work as
well (either dilated
or hypertrophied)
because of pulm
hypertension
- the lung (COPD) cor pulmonale can be caused by
- the vasculature diseases of... (give examples for each)
(idiopathic
pulmonary arterial
hypertension)
- the upper airway
(OSA)
- chest wall
(kyphoscoliosis)
COPD what is the number one cause of cor pulmonale
slow progression what does the progression of Cor Pulmonale
and chronic (unless look like
a new acute
process like a PE
1/11
,15/09/2025, 00:04
compounds)
1) Dyspnea on findings of cor pulmonale (what are they mostly
exertion caused by)
2) lethargy
3) exertional syncope
4) exertional angina
5) hypoxemia
6) anorexia & RUQ
discomfort
7) systemic venous
HTN -> elevated
JVP with a
prominent v- wave, a
RV gallop,
peripheral edema,
and (rarely) ascites
(mostly caused by
the primary lung
disease more than
the right heart
dysfunction)
passive what causes RUQ discomfort with cor
congestion of the pulmonale
liver and bowel
because of RV not
working
right heart failure all cor pulmonale is ___ but not all ___ is cor
2/11
,15/09/2025, 00:04
pulmonale
3/11
, 15/09/2025, 00:04
a disease with an what does an essential disease mean
unknown cause
elevated pulmonary what is pulmonary hypertension characterized
arterial pressure by
which causes
secondary right
ventricular failure
it's life threatening what is the prognosis of pulmonary
and has a poor hypertension
prognosis if
untreated
PAP >25 mmhg at how to define pulmonary hypertension
rest obtained with a
right heart cath
8-20 mmhg what is a normal PAP
arteriolar problems: what are the causes of pulmonary hypertension
- idiopathic
- hereditary
- drugs
- connective
tissue disease
(rheumatoid
arthritis, lupus,
scleroderma)
problems outside
arterioles:
- mitral valve
4/11
