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A -- Heart and Vessels Disorders

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Description/Question
Answer
This abnormal sound is ascultated over arteris that have a constriction in blood flow through them.   Bruit (pronounced brewey)  
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How should the patient be positioned for inspection of jugular veins for distention and pulsation?   reclining at 45 degrees  
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Name at least 5 ways you can assess sufficiency in the extremities of arteries and veins..   color, skin texture, nail changes, presence of hair, muscular atrophy, edema, varicose veins  
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Caused by defects in the pulmonary vascular bed, pulmonary hypertension, and left-to-right shunts, less commn than but usually occurs with left ventricle hypertrophy.   Right ventricle hypertrophy  
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This sinoatrial node dsyfunction may be secondary to hypertension, arterioclerotic heart disease, rheumatic fever, or idiopathic.   Sick sinus syndrome  
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Bacterial infection of the endocardial layer of heart and valves.   Bacterial endocarditis  
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This disorder is many times seen in IV drug users and Janeway leseions and osler modes are characteristic of it.   Bacterial endocarditis  
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A failure of the heart to propel blood forward, resulting in congestion in the pulmonary or systemic circulation.   Congestive heart failure  
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Researchers found that jugular vein distention was the most helping finding in diagnosing this disorder, although dyspnea, orthopnea, tachycardia, and crackles in lungs can also correlate.   congestive heart failure  
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This disorder is the result of inflammation in the pericardium resulting in chest pain, minicking life threatening cardiac conditions.   Pericarditis  
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The key clinical finding in this disorder is friction rub upon ascultation, and may worsen with pericardial effusion and resultant cardiac tamponade.   Pericarditis  
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An excessive accumulation of effused fluid or blood via trauma to the chest wall between the pericardium and the heart resulting in a constraint in cardiac relaxation, impairing the access of blood to the right heart.   Cardiac tamponade  
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This is an enlargement in the right ventricle secondary to pulmonary malfunction; can lead to atrial hypertension, loud S2 sound in pulmonic area.   Cor Pulmonale  
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After a car accident, patient presents to the ER with jugular vein distention, increased liver size, cardiac tamponade, rapid weak pulse, BP 90/68, and dyspnea... one may suspect what condition?   hemopericardium  
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Ischemic myocardial necrosis caused by an abrupt decrease in coronary blood flow to a segment of the myocardium.   Myocardial infartion  
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Symptoms of this include cruching substernal pain, visceral pain radiating to the jaw, neck, left arm, may have soft blowing murmur, pulse maybe thready, and distant heart sound.   Myocardial infarction  
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Elevation of this 8-12 hours after a suspected MI can be confirmatory.   Triponin I  
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Elevation of this 4-6 hrs, with a peak in 14-30hrs, after a suspected MI can be confirmatory.   CK MB  
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This is a rapid, regular HR (200/min) as a result of electrical stimulation originating in a focus other than the atrium seperate from the SA node.   Atrial tachycardia  
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Atrial tachycardia, which is usually seen in young adults, can respond to what physical treatments.   Holding breath, gentle carotid massage, vagal stimulation  
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Tetrology of fallot involves what four cardiac defect.   ventricle septal defect, pulmonic defect (narrowed pulmonic trunk), dextroposition of the aorta, rt. ventricle hypertrophy  
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Central cyanois and dsypnea with loss of consciousness in an infant is life threatening and indicative of what condition?   Tetrology of Fallot  
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Symptoms of this defect include: holosystolic murmur that is loud, high-pitched, along left sternal margin, and doesnt radiate to the neck; also a thrill may be palpable.   ventricle septal defect  
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This is a congenital stenosis of the aorta near the origin of the left subclavian artery and the ligamentum arteriosum.   Coarctation of the aorta  
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When palpating the radial and femoral pulses simutaneously, noting a delay and/or diminished of amplitude of the femoral pulse and also having BP in legs lower than upper extremities may indicate.   coarctation of the aorta  
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