phys exam
Terms
undefined, object
copy deck
- location: angina
- retrosternal, diffuse
- location: not angina
- localized, inc. left inframammary
- radiation: angina
- left arm, jaw, back
- description: angina
- aching, dull, pressing, squieezing, viselike
- description: not angina
- sharp, shooting, cutting
- intensity: angina
- mild to severe
- intensity: not angina
- f'ing excruciating
- duration: angina
- minutes
- duration: not angina
- anything but 'minutes'
- precipitated by: angina
- effort, emotion, eating, cold
- precipitated by: not angina
- respiration, posture, motion
- relieved by: angina
- rest, nitroglycerin
- relieved by: not angina
- nonspecific
- IJV vs carotid pulse: palpation
- not palpable vs palpable
- IJV vs carotid pulse: wave forms
- multiform vs single
- IJV vs carotid pulse: quality
- soft, undulating vs vigorous
- IJV vs carotid pulse: change w/ pressure
- wave forms obliterated vs no effect (light pressure on vessel above sternal end of clavicle)
- IJV vs carotid pulse: change w/ inspiration
- decreased vs no effect
- IJV vs carotid pulse: change w/ sitting up
- decreased vs no effect
- IJV vs carotid pulse: change w/ valsalva
- increased vs no effect
- anacrotic pulse: description
- small, slow rising, delayed pulse with notch/shoulder on ascending limb
- anacrotic pulse: cause
- aortic stenosis
- waterhammer pulse: description
- rapid and sudden systolic expansion
- waterhammer pulse: cause
- aortic regurgitation
- bisferiens pulse: description
- double peaked with midsystolic dip
- bisferiens pulse: cause
- aortic regurgitation; combined aortic stenosis and regurg; idiopathic hypertroph subaortic stenosis
- alternans pulse: description
- alternating amplitude of pulse pressure
- alternans pulse: cause
- CHF
- paradoxical pulse: description
- big drop in systolic blood pressure during inspiration
- paradoxical pulse: cause
- tamponade; constrictive pericarditis; COPD
- supine: cardiac auscultation
- S1 all areas; S2 all areas; systolic murmurs/sounds all areas
- left lateral decubitus: cardiac auscultation
- diastolic events at apex with bell of stethoscope
- upright: cardiac auscultation
- S1 all areas; S2 all areas; systolic murmurs/sounds all areas; diastolic murmurs/sounds all areas
- upright, leaning forward: cardiac auscultation
- diastolic events at base with diaphragm of stethoscope
- aortic stenosis vs mitral regurgitation: location
- aortic area vs apex
- aortic stenosis vs mitral regurgitation: radiation
- neck vs axilla
- aortic stenosis vs mitral regurgitation: shape
- diamond vs holosystolic
- aortic stenosis vs mitral regurgitation: pitch
- medium vs high
- aortic stenosis vs mitral regurgitation: quality
- harsh vs blowing
- 2 most common systolic murmurs: ?
- aortic stenosis and mitral regurgitation
- aortic stenosis: decreased A
- yes
- aortic stenosis: ejection click
- yes
- aortic stenosis: S4
- yes
- aortic stenosis: Narrow pulse pressure
- yes
- aortic stenosis: slow rising and delayed pulse
- yes
- aortic stenosis: Decreased S1
- no
- aortic stenosis: S3
- no
- aortic stenosis: Laterally displaced diffuse PMI
- no
- mitral regurgitation: decreased A
- no
- mitral regurgitation: ejection click
- no
- mitral regurgitation: S4
- no
- mitral regurgitation: Narrow pulse pressure
- no
- mitral regurgitation: slow rising and delayed pulse
- no
- mitral regurgitation: Decreased S1
- yes
- mitral regurgitation: S3
- yes
- mitral regurgitation: Laterally displaced diffuse PMI
- yes
- systolic or diastolic: pulmonic stenosis
- systolic
- systolic or diastolic: tricuspid regurgitation
- systolic
- systolic or diastolic: ventricular septal defect
- systolic
- systolic or diastolic: venous hum
- systolic
- systolic or diastolic: innocent murmur
- systolic
- location: pulmonic stenosis
- pulmonic area
- location: tricuspid regurgitation
- tricuspid area
- location: ventricular septal defect
- tricuspid area
- location: venous hum
- above clavicle
- location: innocent murmur
- widespread (usually between apex and left lower sternal border)
- radiation: pulmonic stenosis
- neck
- radiation: tricuspid regurgitation
- right of sternum
- radiation: ventricular septal defect
- right of sternum
- radiation: venous hum
- right neck
- radiation: innocent murmur
- minimal
- shape: pulmonic stenosis
- diamond
- shape: tricuspid regurgitation
- holosystolic
- shape: ventricular septal defect
- holosystolic
- shape: venous hum
- continuous
- shape: innocent murmur
- diamond
- pitch: pulmonic stenosis
- medium
- pitch: tricuspid regurgitation
- high
- pitch: ventricular septal defect
- high
- pitch: venous hum
- high
- pitch: innocent murmur
- medium
- quality: pulmonic stenosis
- harsh
- quality: tricuspid regurgitation
- blowing
- quality: ventricular septal defect
- harsh
- quality: venous hum
- roaring; hhumming
- quality: innocent murmur
- twanging; vibratory
- 2 commonest diastolic murmurs: ?
- mitral stenosis and aortic regurgitation
- mitral stenosis vs aortic regurgitation: location
- apex vs aortic area
- mitral stenosis vs aortic regurgitation: radiation
- both NO
- mitral stenosis vs aortic regurgitation: shape
- both decrescendo
- mitral stenosis vs aortic regurgitation: pitch
- low vs high
- mitral stenosis vs aortic regurgitation: quality
- rumbling vs blowing
- mitral stenosis: increased S1
- associated
- mitral stenosis: Opening snap
- associated
- mitral stenosis: RV rock (right ventricular impulse at lower left sternal border)
- associated
- mitral stenosis: S3
- not associated
- mitral stenosis: Laterally displaced PMI
- not associated
- mitral stenosis: wide pulse pressure
- not associated
- mitral stenosis: bounding pulses
- not associated
- mitral stenosis: austin flint murmur
- not associated
- mitral stenosis: systolic ejection murmur
- not associated
- aortic regurgitation: increased S1
- not associated
- aortic regurgitation: Opening snap
- not associated
- aortic regurgitation: RV rock (right ventricular impulse at lower left sternal border)
- not associated
- aortic regurgitation: S3
- associated
- aortic regurgitation: Laterally displaced PMI
- associated
- aortic regurgitation: wide pulse pressure
- associated
- aortic regurgitation: bounding pulses
- associated
- aortic regurgitation: austin flint murmur
- associated
- aortic regurgitation: systolic ejection murmur
- associated