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16MAY16 CARDIO

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mestrella's version from 2016-05-16 12:40

Section 1

Question Answer
DDX ACUTE MR/RUPTURED CHORDAE TENINEAEIE FLAIL LEAFLET, MVP, ENDOCARDITIS, TRAUMA, RHEUMATIC HD
CF ACUTE MRRAPID ONSET, PULM EDEMA, HoTN/CARDIOGENIC SHOCK, PULM HTN TO ACUTE R HF.
PE ELEVATED RV PRESSUREDISTENDED NECK VEINS, TRICUSPID REGURGE
MGT ACUTE MRECHO TO CONFIRM, EMERGENT REPAIR
PAPILLARE MSC RUPTURE A/WCOMPXN ACUTE MI, 2-7 DAYS AFTER, UC IN YOUNG PT
SX ENDOCARDITISFEVER, JANEWAY LESIONS, OSLER NODES, HEMOTYSIS 2ND PULM INFARCT
CAUSES OF PULM EDEMA (6)HTN CRISIS, MI, ACUTE AR/MR, LA OUTFLOW OBSTRXN, VOLUME OVERLOAD
ED OR MARFANS: HYPEREXTENSIBLE SKIN, VELVETY SKIN, ATROPHY AND SCARRINGED
ED OR MARFANS: MSK PECTUS EXCAVATUMED
ED OR M: PECTUS CARINATUMMARFAN'S
ED OR M: SCOLIOSISBOTH
ED OR M: JOINT HYPERMOBILITYBOTH
ED OR M: MVPBOTH
ED OR M: AORTIC ROOT DILATIONMARFAN'S
ED OR M: DEVELOPMENT OF HERNIAS, CEVICAL INSUFF, UTERINE PROLAPSEED
ED OR M: LENS DISLOCATION, RETINAL DETACHMENT, SPONT PNEUMOMARFAN'S
ED OR M: COL5A1 AND A2, ADED
ED OR M: FBN1, ADMARFAN'S
PE SEVERE AS (DESCRIBE S2)SOFT AND SINGLE
PE SEVERE: DESCRIBE CAROTID PULSEDELAYED AND DIMINISHED
PE SEVERE: DESCRIBE MURMURLOUD AND LATE-PEAKING SYSTOLIC
NORMAL S2 SPLITTING RESULTS FROMPLIABLE AORTIC LEAFLETS
NO S2 SPLITTING INDICATESREDUCE MOBILITY AND CLOSURE OF A2, THEREFORE SYNCHRONIZED A2 AND P2
S4 INDICATESHEALTHY ADULTS, OR DECREASED VENTRICULAR COMPLIANCE 2ND HTN HD, AS, HYPERTROPHIC CARDIOMYOPATHY
EKG WPW: PR INTERVALSHORT
EKG WPW: WAVESDELTA
EKG WPW: QRSWIDE
SX/COMPLICATIONS WPWTACHYARRHYTHMIAS, DEV'P AFIB, CAN DEV'P V FIB AND CARDIAC ARREST
MGT WPW +SXCATHETER-ABLATION THX
BICUSPID AORTIC VALVE 30% A/WTURNER SYNDROME
BICUSPID AORTIC VALVE COMPXNSINF ENDOCARDITIS, SEVERE AR/AS, AORTIC ROOT OR ASCENDING AORTIC DILATION, DISSECTION
MGT: BICUSPIC AORTIC VALVE F/U ECHO Q 1-2 YRS. BALLOON VALVULOPLAST OR SURGERY
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Section 2

Question Answer
TOPIC: ANSWER INCREASE OR DECREASEDRUGS AFFECTING WARFARIN
NSAIDS, ACETAMINOPHENINCREASE
ABX/ANTIFUNGALSINCREASE
AMIODARONEINCREASE
CRANBERRY JUICE, GINKO, VIT EINCREASE
OMEPRAZOLEINCREASE
THYROID HORMONEINCREASE
SSRIINCREASE
RIFAMPINDECREASE
CARBAMAZEPINEDECREASE
ORAL BCPDECREASE
GINSENGDECREASE
ST JOHN'S WORTDECREASE
GREEN VEGETABLESDECREASE
DECREASE WARFARIN DOSE BY__ -___% AFTER INITIATING AMIODARONE25-50%
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Section 3

Question Answer
TOPICBACTERIAL ENDOCARDITIS PROPHYLAXIS
CONSIDERPT RISK AND HIGH VS LOW PROCEDURE RISK
PATIENT RISKVALVULAR DZ, CHD W/ SYMPTOMS, OR 1ST 6 MOS AFTER PROCEDURE
HIGH RISK PROCEDURESDENTAL, RESP TRACT BX, ONGOING INFECTIONS, CARDIAC SURGERY
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Section 4

Question Answer
TOPICPOST MI COMPLICATIONS
LV ANEURYSMLATE COMP, TRANSMURAL MI, LARGE ANTERIOR WALL, CAN DEV'P LV THROMBUS
2-7 DAYSCHORDAE TENDINEAE OR PAPILLARY MSC RUPTURE
WEEKS TO MOSDRESSLER'S SYNDROME, AUTOIMMUNE MEDIATED
CP DRESSLER'S SYNDROMEFEVER, LEUKOCYTOSIS, PLEURITIC CHEST PX, PERICARDIAL RUB.
1-4 DAYSACUTE PERICARDITIS, A/W TRANSMURAL MI
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