Cardiology
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| Hypertrophic cardiomyopathy: genetics, prevalence, dx test, exam | auto dom, most common sudden death <35 yo; dx via echo: asymmetric septal hypertrophy & LV outflow obstruction; squatting increases venous return & decreases murmur; standing increases venous pooling & murmur; SEM at LSB
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| benign flow murmurs ___ with valsalva | diminish or do not change (HOCM increases)
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| CAD risk factors | FH, male, hyperlipid, DM, HTN, inactivity, obese, smoking
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| thrombophlebitis mgmt | Local heat & elevation, bed rest, NSAID, ASA, avoid long standing; assoc w/ DVT in 20%
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| A-fib mgmt | hemo unstable: cardiovert; stable: consider rate ctrl (BB/CCB), anticoag, poss cardiovert
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| Venous thrombosis: 80% occur in: | deep v. of calf
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| Syncope: types | vasopressor; orthostatic hypotension; cardiogenic
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| A fib dx work up | 12 ECG, echo, CXR, thyroid; poss Holter or stress test
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| Atypical CP, palps, anx d/o, sympathetic hyperreactivity; mild systolic click +/- MR; young F>M | MV prolapse
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| MV prolapse mgmt | Echo to dx; reassurance; BB for palps; ASA for TIA / CVA risk; surgery for severe MR
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| varicose veins most common in: | saphenous veins
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| Inflammation, induration, erythema & tenderness along superficial v (usu long saphenous v) | phlebitis
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| DVT mgmt: | Heparin/Warfarin, Thrombolytic tx, Embolectomy, IVC filter if anticoags are CI
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| DVT RFs: | Virchow’s triad; PG, ca, Limb trauma, Surgery
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| syncope: dx tests | ECG; autonomic: tilt table, carotid massage; electrophysio; stress test
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Created by:
Abarnard
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