Cardio PP Clues
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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show | Kidney & Liver
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What organs have resistance in parallel? | show 🗑
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show | Heart
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show | Muscle
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What organ has the highest A-V O2 difference after a meal? | show 🗑
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What organ has the highest A-V O2 difference during an exam? | show 🗑
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show | Kidney
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show | Ascending Aorta (cystic medial necrosis, syphilis)
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show | Descending Aorta (trauma, athersclerosis)
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What layers does a True aortic aneurysm involve? | show 🗑
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show | Intima, media
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What is pulse pressure? | show 🗑
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What vessel has the thickest layer of smooth muscle? | show 🗑
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show | Arterioles
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show | Capillaries
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What vessel has the highest compliance? | show 🗑
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What vessels have the highest capacitance? | show 🗑
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show | 220 - age
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What is stable angina? | show 🗑
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What is unstable angina? | show 🗑
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What is Prinzmetal angina? | show 🗑
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What stain is used to see amyloidosis? | show 🗑
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show | Fe deposition in organs --> hyperpigmentation, arthritis, diabetes mellitus
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show | Pressure equalizes in all 4 chambers - quiet precordium, no pulse or BP, Kussmaul's sign, pulsus paradoxus
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Kussmaul's sign | show 🗑
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Pulses paradoxus | show 🗑
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show | Effusion of mostly water
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What is an Exodate? | show 🗑
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show | ventricles contract, decreased blood flow to coronary arteries, Increased O2 extraction
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What is diastole? | show 🗑
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What are the only arteries w/ deoxygenated blood? | show 🗑
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show | Aortic Regurg
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show | Aortic Stenosis
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What cardiomyopathy has pulsus alternans? | show 🗑
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What disease has pulsus bigeminus? | show 🗑
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show | Atrial Fibrillation
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show | Aortic Stenosis, Aortic Regurg
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What murmur radiates to the axilla? | show 🗑
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show | Pulmonary Stenosis
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What disease has a boot shaped x-ray? | show 🗑
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What disease has a banana-shaped x-ray? | show 🗑
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show | Transposition of the Great Arteries
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What disease has a snowman-shaped x-ray? | show 🗑
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show | Aortic coarctation
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What is Osler-Weber-Rendu? | show 🗑
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What is Von Hippel-Lindau | show 🗑
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show | on Closure
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show | Mitral & Tricuspid (S1)
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show | Holosystolic (pancystolic): MR, TR, VSD ... Ejection: AS, PS, HCM
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show | Aortic & Pulmonary (S2)
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show | Blowing: AR, PR ... Rumbling: MS, TS
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What murmurs are continuous? | show 🗑
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show | Pleuritis
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show | Pericarditis
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show | Mitral Valve Prolapse (MVP)
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What does an ejection click tell you? | show 🗑
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What does an opening snap tell you? | show 🗑
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What does S2 splitting tell you? | show 🗑
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show | Increased O2, Increased Right Ventricular Volume, or delayed Pulmonic Valve opening
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What does a Fixed Wide S2 split tell you? | show 🗑
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What is cor pulmonale? | show 🗑
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What is Eisenmenger's? | show 🗑
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What is transposition of the great arteries? | show 🗑
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What is tetralogy of Fallot? | show 🗑
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What is an Overriding Aorta? | show 🗑
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show | Tet Spells (episodes of bluish skin on feeding or crying), prognostic
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What type of shunt does a VSD cause? | show 🗑
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show | Spiral membrane didn't develop (neural crest origin); One Aortic/Pulmonary trunk (mixed blood)
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What is Epstein's Anomaly? | show 🗑
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show | Hearing loss, tinnitus, thrombocytopenia
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show | (9) Transposition of the great arteries, Tetralogy of Fallot, Truncus Arteriosus, Tricuspid Atresia, Total Anomalous Pulmonary Venus Return, Hypoplastic Left Heart Syndrome, Epstein's Anomaly, Aortic Atresia, Pulmonic Atresia
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Causes of Widened S2: | show 🗑
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show | AVM=machinery murmur; Heart:PDA, Elbow:dialysis fisula, Brain:Von-Hippel-Lindau, Lungs:Osler-Weber-Rendu
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show | Pain with a Normal heart rate
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show | HR should increase by 10bpm for every 1 degree increase in temperature
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Maximum Sinus Rate (aka max heart rate) | show 🗑
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Ions and the EKG | show 🗑
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Most Common NON-Cyanotic Congenital Heart Diseases | show 🗑
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show | Mitral Regurg, Tricuspid Regurg, VSD
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Myocardial Infarct - Enzymes | show 🗑
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MI Enzymes Timeline | show 🗑
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Along with nitrates, what hypertensive medication both vaso- and veno-dilates? | show 🗑
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For what medical conditions are nitrates used? | show 🗑
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show | Differential Pulses, Differential Cyanosis, Rib notching on X-Ray
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Reason for Rib Notching in Coarctation: | show 🗑
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show | the PDA joins distal to coarctation
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Most common congenital heart disease in Down's Syndrome | show 🗑
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Why does Common AV Canal result? | show 🗑
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Most Common Cyanotic Heart disease in Down's Syndrome | show 🗑
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Which vessels have the greatest effect on blood pressure? | show 🗑
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show | Veins & Venules
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show | Capillaries
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How does the body maintain stroke volume during hypovolemic shock? | show 🗑
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show | 60% of blood volume
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Vessels in which most diffusion occurs: | show 🗑
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show | stratified squamous
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Calcification of the aortic arch due to trauma and age is called? | show 🗑
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What gives the veins & venules the ability to have such great compliance? | show 🗑
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show | Ventricular contraction and Aortic recoil
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What 3 factors prevent blood from being delivered to the heart during systole? | show 🗑
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show | Energy requirement is generated during systole
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show | Energy is extracted during diastole
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How much oxygen is extracted from blood by the heart? | show 🗑
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With FAST heart rates, in which phase of the cycle does the heart spend most time? | show 🗑
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show | diastole
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show | The aorta calcifies
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How does aortic calcification affect compliance? | show 🗑
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show | BP increases (mainly systolic). Pulse Pressure increases (systolic increases, diastolic remains unchanged)
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show | Ca2+ channel Blockers
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Why do the liver & kidneys have resistance of vessels in series? | show 🗑
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Vasodilators of the organs: | show 🗑
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What is the function of the Carotid Body? Carotid Sinus? | show 🗑
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What is the pathway of signals from the carotid sinus? | show 🗑
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show | Cranial Nerves IX and X are always firing; Firing goes up/down along with Stroke Volume; NE goes in the opposite direction; Increased Stroke Volume causes increased firing of IX and X; decreased Stroke Volume causes decreased firing of IX and X
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show | CN X is inhibitory to the heart. Increased firing causes decreased Heart Rate; Decreased Firing causes Increased Heart Rate
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When you stand up, how much does heart rate and blood pressure change? | show 🗑
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show | body did not respond = Autonomic Dysfunction
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show | body overcompensated = Volume Depletion
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Four types of Autonomic Dysfunction: | show 🗑
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show | Carotid Sinus is so calcified that it does not respond. Sick sinus means pausing for more than one second.
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What is the pathology of Reily Day Syndrome? | show 🗑
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show | Carotid Sinus increases firing; CN IX and X increase firing; HR decreases (Reflex Bradycardia)
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Sequence of events takes place when you stand from a seated position (carotid sinus) | show 🗑
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Mechanism responsible for immediate regulation of BP: | show 🗑
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show | NE (alpha1 receptors then beta1 receptors)
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show | kidney
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show | Angiotensin II
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To what stimulus to JG cells in the kidney respond? And how? | show 🗑
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What is the rationale for using a carotid massage? | show 🗑
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How does NE regulate blood pressure? | show 🗑
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What is the function of the carotid reflex? | show 🗑
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show | Hypovolemia (compensated shock)
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What are the first physical signs of hypovolemia? | show 🗑
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show | Hypoperfusion of the skin due to vasoconstriction in shock
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show | Vasoconstriction, stimulate Aldosterone release
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What is the treatment for hypertension in heart failure? | show 🗑
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First Degree Heart Block | show 🗑
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show | Normal PR interval & erratic loss of QRS
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show | AV disassociation
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Second Degree (Mobitz 1) Heart Block | show 🗑
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show | 1st degree -> No Tx; Mobitz I -> Pacer if symptomatic; Mobitz II -> Pacer; 3rd Degree -> Pacer
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Complication of Temporal Arteritis: | show 🗑
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Another name for Temporal Arteritis: | show 🗑
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How do you diagnose Temporal Arteritis? | show 🗑
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Rule of 60s for Temporal Arteritis: | show 🗑
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Myositis | show 🗑
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Polymyositis | show 🗑
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Dermatomyositis | show 🗑
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Fibrositis | show 🗑
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show | pain of muscle and muscle insertions; treated with Amitriptyline; multiple trigger points
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show | shoulder girdle hurts most; Increased in Temporal Arteritis
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Throbbing temporal Headache | show 🗑
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show | Rifampin, Isoniazid, Statins, Prednisone
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show | Hypothyroidism
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show | Cerebellar signs in 5-10yo; Spider veins on skin; IgA deficiency
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show | Berger's
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show | Buerger's
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show | Alport's
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show | Kawasaki's
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show | Hemolytic Uremic Syndrome (HUS)
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Fever, Thrombocytopenia, and Neuro problems | show 🗑
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show | Polyarteritis Nodosa
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Vasculitis with Sinuses, Lungs and Kidney involvement | show 🗑
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Two weeks after vaccination | show 🗑
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show | SLE
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show | Subacute Bacterial endocarditis
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show | Smooth muscle & Cardiac muscle because they have autonomics
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Only vasculitis with normal platelet count | show 🗑
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show | Kawasaki
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show | Haptoglobin
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What is the cellular response seen with all vasculatides? | show 🗑
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Kawasaki | show 🗑
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Idiopathic Thrombocytopenia Purpura (ITP) | show 🗑
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show | Midsized arteries (GI & Renal), assoc with Hep B, p-ANCA
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Churg-Strauss | show 🗑
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Subacute Bacterial Endocarditis (SBE) | show 🗑
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MPGN I | show 🗑
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show | Tram Tracks with low complement (dense deposit disease)
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CREST Syndrome | show 🗑
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show | Anti-scl70 and anti-SM muscle
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show | Scleroderma with organ involvement
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Rheumatic Arthritis | show 🗑
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show | Arthritis with iridesis
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Felty's | show 🗑
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Behcet's | show 🗑
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show | RA + dry eyes, dry mouth
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Vasculitis with GI bleeding, intussuscetion, normal platelet count | show 🗑
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show | DIC
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show | Hemolytic Uremic Syndrome (HUS)
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show | Polyarteritis Nodosa (PAN)
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Vasculitis that causes pulmonary inflitrate with eosinophilia | show 🗑
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show | Sjogren's
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show | Rheumatoid arthritis
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show | Rheumatoid arthritis
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Closure of Mitral & Tricuspid Valves | show 🗑
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show | S2
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show | Volume Overload, Dilation, Decompensation
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S4 means: | show 🗑
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show | Delayed closing of the pulmonic valve
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Wide S2 Split means: | show 🗑
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Narrow S2 Split means: | show 🗑
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show | Mitral Regurg, Tricuspid Regurg, VSD
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show | ASD
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Continuous machine-like murmur | show 🗑
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show | Mitral Valve Prolapse
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What is the normal CVP? | show 🗑
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show | 12
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show | Pressure
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The diastolic component of blood pressure represents: | show 🗑
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show | Systolic Murmurs
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show | Diastolic Murmurs
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show | Turbulence
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show | Inspiration
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Do LEFT heart sounds get louder on Inspiration or Expiration? | show 🗑
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Most Common Cause of Aortic Stenosis | show 🗑
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show | Aging, Collagen Disease
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show | Rheumatic Fever
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show | Rheumatic Fever, Carcinoid
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show | Mitral Valve Prolapse, Endocarditis, Collagen Disease
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Most Common Cause of Tricuspid Regurgitation | show 🗑
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Most Common Cause of Pulmonary Stenosis AND Pulmonary Regurgitation | show 🗑
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show | Head bobbing, Quinke's pulses, Wide pulse pressure, Waterhammer pulse
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What is the normal Pulse Pressure? | show 🗑
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How can you accentuate Aortic Stenosis? | show 🗑
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show | Valsalva & Stand Up
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show | Athlete who passes out, Harsh systolic murmur, Pulsus Biferiens, Disorganized myofibrils on biopsy
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What casues IHSS? | show 🗑
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Diastolic blowing murmurs | show 🗑
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Diastolic Rumbling murmurs | show 🗑
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show | Aortic Stenosis, Pulmonic Stenosis
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What are the two main types of effusions? | show 🗑
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What is the main cause of a transudate? | show 🗑
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show | Cirrhosis, NephrOtic syndrome
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What is the main cause of an Exudate? | show 🗑
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show | Bacterial Infection
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show | Non-Bacterial Infections
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What causes Caseating Exudates? | show 🗑
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show | Collagen Vascular Diseases (CVD), Uremia, TB
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show | Trauma, Cancer
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Most Common Cause of restrictive cardiomyopathy | show 🗑
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Most Common Cause of constrictive cardiomyopathy | show 🗑
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show | VSD, ASD, PDA, Coarctation
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Most Common Cyanotic Heart Disease | show 🗑
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show | Tetralogy of Fallot
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Clues for tetralogy of Fallot | show 🗑
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Clues for Truncus Arteriosus | show 🗑
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Clues for Epstein's Anomaly | show 🗑
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Clues for Total Anomalous Venous Return | show 🗑
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show | The degree of pulmonary stenosis
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What two factors are used to determine whether fluid is transudate or exudate? | show 🗑
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Vasculitis definition | show 🗑
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Arteritis definition | show 🗑
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show | Inflammation of a venous blood vessel
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show | associated with deafness and cataracts, begins in child but no renal failure until 15-25yrs
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show | attacks the aorta vasa vasorum; tree-bark appearance; wrinkled intimae, obliterative endarteritis (makes aorta fall apart)
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show | Japanese woman with weak pulses; granulomatous inflammation like Temporal arteritis
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Temporal Arteritis | show 🗑
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show | HLA B27 disease; bamboo spine, lose Height, can't bend over, Amer Indians, Eskimos
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show | Must be a Kawasaki patient
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show | Polyarteritis Nodosa (PAN)
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c-ANCA, attacks sinuses lungs kidneys, #1 cause of RPGN-cresent in kidney | show 🗑
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show | Goodpasture's
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show | Leukocytoclastic
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Leukocytoclastic | show 🗑
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parasitic vasculits, HIGH eosinophil count, mimics asthma in kids, wheezing assoc w/ worm | show 🗑
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show | mildest form of scleroderma; Calcinosis, Reynaud's, Esophogeal dysmotility, Sclerodactyly, Telangiectasia
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Gerd & tight skin on fingers | show 🗑
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show | Scleroderma
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Anti-Topoisomerase, chronic inflammation of organs, organs are fibrotic | show 🗑
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SubEPIthelial humps 2 weeks after a sore throat | show 🗑
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Roth spots in retina, mycotic aneurysms, splinter hemorrhages in nail beds (Osler nodes are painful; Janeways are not) | show 🗑
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show | IgM diseases, acute inflammation only, Non-bacterial
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