What is a pericardial friction rub?
Ans- often heard over the sternal border. The inflammation causes a grating,
scraping or leather-rubbing sound
Is pericarditis more common in adults or children?
Ans- Adults
What positions aggravate pericarditis?
Ans- lying flat on the left side, coughing ...
Ans- often heard over the sternal border. The inflammation causes a grating,
scraping or leather-rubbing sound
Is pericarditis more common in adults or children?
Ans- Adults
What positions aggravate pericarditis?
Ans- lying flat on the left side, coughing and deep inspiration
How is pericardial pain relieved?
Ans- NSAIDs because this type of pain is not related to ischemia
,How to characterize a HTN crisis?
Ans- An uncontrolled rise in BP with end organ damage. Diastolic normally >130.
Neuro sx are common as well as papilledema. This condition requires rapid
management
What can cause a HTN crisis?
Ans- Malignant HTN defined as a BP > 180/120
How is malignant HTN different from HTN emergency?
Ans- Malignant HTN will have papilloedema
How to calculate MAP?
Ans- [(2 x DBP) + SBP] divided by 3
How fast do you tx an HTN ER?
Ans- decrease between 20-30% over 2-3 hours
,How fast do you tx an HTN urgency?
Ans- reduce BP gradually over 24-48 hours
What can dig toxicity manifest as?
Ans- acute onset = hyperkalemia
chronic = hypokalemia, hypomag and bradycardia r/t hypokalemia
Who is more likely to have an aortic dissection?
Ans- Males, HTN pts, and those with Marfans (which is connective tissue
weakness)
What drug is recommended for wide complex tachycardia in a stable pt?
Ans- Amidodarone
What joule setting is recommended for emergent cardioversion?
Ans- starting at 50-75 in biphasic and 100 in monophasic
, What drug is rec for SVT?
Ans- Adenosine
How does hyperkalemia manifest on an EKG?
Ans- peaked T-waves in V1-V5, widened QRS that can turn into sin wave -->
asytole
How does hypokalemia manifest on an EKG?
Ans- flat T-waves in V1-V5
Define US Angina
Ans- CP that occurs with activity and become worse with each episode. 1/2 pts
with UA have total or near total occlusion of a coronary artery
Define Ludwigs angina
Ans- an expansion of an existing untx dental infection/cellulitis to the
submandibular/lingual/mental mandibular spaces
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