HPI and PE Flashcards Preview

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Flashcards in HPI and PE Deck (21)
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1
Q

S3

A

“Kentucky”

2
Q

S4

A

“Tennessee”

-almost always considered pathological

3
Q

Left-side heart failure

A
  • pulmonary congestion
  • cough
  • crackles
  • wheezes
  • blood-tinged sputum
  • tachypnea
  • paroxysmal nocturnal dyspnea
  • elevated pulmonary capillary wedge pressure
  • restlessness
  • confusion
  • orthopnea
  • tachycardia
  • exertional dyspnea
  • fatigue
  • cyanosis
4
Q

Right Sided Heart Failure

A
  • fatigue
  • increase peripheral venous pressure
  • ascites
  • enlarged liver and spleen
  • may be secondary to chronic pulmonary problems
  • distended jugular veins
  • anorexia and complaints of GI distress
  • weight gain
  • dependent edema
5
Q

Orthostatic Hypotension

A
  • drop in systolic pressure of 20 mmHg or more in 3 minutes
  • drop in diastolic pressure of 10 mmHg or more in 3 minutes
  • pulse increase by 20 beats/minute
6
Q

Apex

A

mitral valve

7
Q

Left sternal border

A

tricuspid valve

8
Q

2nd and 3rd right interspace

A

aortic valve

9
Q

2nd and 3rd left interspace

A

pulmonic valve

10
Q

Osler Nodes

A

endocarditis

11
Q

Janeway lesions

A

sub-acute bacterial endocarditis

12
Q

Splinter Hemorrhages

A

sub-acute bacterial endocarditis or trichinosis

13
Q

Nail Clubbing

A
  • most etiologies unknown

- common with pulmonary and cardiac disorder

14
Q

Corneal Arcus

A

hyperlipidemia

15
Q

Beck’s Triad

A
  • distended neck veins
  • decreased or muffled heart sounds
  • hypotension
16
Q

Sharp and stabbing pain

A

pericarditis

17
Q

Tearing

A

aortic dissection

18
Q

Sitting on chest

A

MI

19
Q

Murmur

A

in the heart

20
Q

Bruit

A

peripheral

21
Q

Thrill

A

can feel it