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Dr. Seva Visc. CFs 1

Dr. Seva's NYCC Visceral Pathology 1st Exam Clinical Features

QuestionAnswer
What are risk factors for cardiac hypertrophy? HTN and stenosis of valves
What condition gives dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, cough, hemoptysis? Left ventricular failure.
If left atrial pressure and pulmonary venous pressure are increased, the lung is congested and HLM's are present what happened? Left ventricular failure.
What happened if right atrial pressure and systemic venous pressure are increased? Right ventricular failure.
What gives clinical features of neck vein distention, elevated JVP, hepatomegaly & tender liver, spleenomegaly, hepato-abdomino-jugular reflex, ascities, peripheral pitting edema? Right ventricular failure.
What pathology gives clinical features of fatigue, dyspnea on exertion, palpitation d/t arrhythmia, repeated LRI in childhood, pansystolic murmur? VSD
Clinical features present: fatigue, dyspnea on exertion, palpitation d/t arrhythmia, repeated LRI in childhood, PHTN, Rt. ventricular hypertrophy, heart failure, paradoxical emboli, bacterial endocarditis, ejection systolic murmur. ASD
Clinical features present: premature infant, left ventricular hypertrophy and heart failure, decreased CO, PHTN, continuous machinery murmur. PDA
Clinical features present: HTN in upper limb (dizziness, HAs and nosebleeds), hypotension in lower limb (weakness, pallor and claudication), radiofemoral delay, vascular bruit. Coarctation of the Aorta
Clinical features present: Angina, syncope, left heart failure, soft S2. Aortic stenosis (type depends on age of patient: 40-50 is congenital, 60-70 is senile, if associated w/ mitral valve stenosis is rheumatic)
Clincal features present: angina pectoris, myocardial infarction, chronic congestive heart failure, sudden death. Ischemic heart syndrome
Pt. is over 45, black and male. Had a pounding morning headache and left ventricular hypertrophy, shifted apical impulse and S4. Primary HTN
Patient is under 35 has facial edema, Conn's or Cushing's syndrome, or anxious/nervous, or acromegaly. Secondary HTN; kidney, adrenal cortex/medulla, pituitary are primary.
Pt. has carditis or chorea or erythema marginatum or subcutaneous nodules. Jone's major manifestations of rheumatic heart disease.
Pt. has arthralgia or fever or raised ESR or leukocytosis or EKG changes. Jone's minor manifestations of rheumatic heart disease. (need 2 major or 1 major and 2 minor)
Pt has decreased CO, dyspnea on exertion, increased LA pressure, LVF soon followed by RVH-RVF. Mitral stenosis.
Pt has systolic murmur, atypical chest pain and palpitations. Mitral Valve Prolapse
Pt has a fever, new murmur and positive blood cultures. Bacterial endocarditis.
Pt has RHD or is an IV drug abuser or has prosthetic valves or is a child w/ VSD. Bacterial endocarditis.
Pt has tachycardia, increased cardiac workload and output. Hyperthyroidism
Pt has bradycardia, impaired myocardial contractility, decreased CO. Hypothyroidism.
Pt is an alcoholic has high CO, salt water retnetion, pedal edema, increased cardiac workload, tachycardia, edema. Thiamine deficiency: wet beriberi
Pt has decreased contractile force of LV and RV that results in heart failure. Idiopathic dilated cardiomyopathy.
Pt has sudden, sharp, substernal chest pain that is relieved by sitting forward and aggravated by lying down, moving and breathing. Acute pericarditis
Pt has hypotension, increased JVP adn muffled heart signs. Cardiac tamponade
Pt has small, quiet heart, restricted venous filling, high venous pressure, low cardiac output, ascites, pedal edema. Constrictive pericarditis.
Pt has nasal irritation, sneezing, watery rhinorrhea, itching of eyes, soft palate and ears. Allergic Rhinitis
Pt smokes cigars and drinks alcohol Tumors of larynx
Pt has dyspnea, sudden chest pain d/t lung infarction and hemoptysis. Pulmonary embolism
Pt has persistent dry cough that lead to sputum prod'n, malaise, low grade fever that lasts 3-7 days but cough persists. Acute bronchitis
Pt has dyspnea, tachypnea, severe hypoxaemia, cyanosis. ARDS
Pt has abrupt onset of high fever, malaise, productive cough with patchy or scattered consolidation on x-ray. Bacterial Pneumonia
Pt has low grade fever, dry cough, headache and malaise. Viral Pneumonia
Pt has caseating granulomas, fever and organisms in sputum. TB
Pt has winter cough that got worse with lots of sputum, wheeze, dyspnea and morning tightness in chest. Chronic bronchitis
Pt has long history of exertional dyspnea and a minimal nonproductive cough. Emphysema
Pt has recurrent episodes of expiratory wheezing, breathlessness, chest tightness, coughing. Asthma
Pt has chronic cough, foul-smelling large volume of sputum, fever. Bronchiectasis
Pt has increased thick mucus, decreased mucociliary clearance, increased bacterial infections. (LRI and steatorrhea) Cystic fibrosis
Pt had exposure to carbon dust at work years ago. Anthracosis
Pt worked grinding stone, glass and sand. Silicosis
Pt worked w/ brake linings, insulation, in a shipyard. Asbestosis (mesothelioma and bronchogenic carcinoma major risks)
Pt worked in aerospace industry Berylliosis
Pt has gradual onset of increasing dyspnea w/ hilar lymph node involvements and non-caseating granulomas in lung. Sarcoidosis
Pt has hemoptysis, hematuria, anemia, pulmonary fibrosis and presence of circulating anti-glomerular basement membrane antibodies. Goodpasture's syndrome
Pt has cough, dyspnea, hemoptysis, chest pain, obstructive pneumonia and pleural effusion. Carcinoma of the lung. (4 types)
Pt has Horner's syndrome Pancoast syndrome.
Pt has sudden pain or feeling of tightness on affected side; affected by deep inspiration, sudden onset of severe dyspnea. Pneumothorax 2 types, spontaneous (inside-out) and traumatic (rib Fx usually)
Pt has hydrothorax or pyothorax or empyema or hemothorax or chylothorax. Pleural effusion
Pt has a history of working w/ asbestose, progressive chest pain and dyspnea. Malignant Mesothelioma
Created by: kabrown