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2: Breathlessness
3: Palpitations
4: JVP (Jugular Venous Pressure)
5: Chest Pain
Welcome to CramPuppy3.0
CramPuppy.com provides free revision notes, study guides and revision resources for IGCSE , IB, ,A-level, GCSE, GCE, CBSE and University qualifications including Medicine, with a special OSCE Revision Notessection all contributed by our active community of students. Join us to help create the largest database of free revision notes and revision resources on the net. A community run by students for students!
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1: Heart Failure
•40% myocardial damage
•High output: beri-beri, Paget’s, anaemia, thyrotoxicosis
•Hypertension: sympathetic, aldosterone
•LVF: dyspnoea, bibasalcreps, gallop rhythm (3rdHS),..
2: Breathlessness
•Orthopnoea:
•PND: -‘going to the window to get air’
•Marfan’s–ass. w/ aortic aneurysms and aortic regurgitation
•Thallium/tetrofosmin: ischaemia/infarctio..
3: Palpitations
•Sinus tachy: fever, anaemia, heart failure
•SVT (narrow complex)
–AF, flutter
–Bundle of Kent –WPW/pre-excitation –delta waves
–AVNRT –most common
&bull..
4: JVP (Jugular Venous Pressure)
•‘prominent v waves’ –TR
–Secondary venous upstroke d/t filling of RA @systole
•Distended, non-pulsatileneck veins: SVC obstruction –espd/t SCC of lung
&..
5: Chest Pain
IHD: precipitation by exercise –incl. sexual intercourse
•Sweating, nausea, vomiting –high suspicion of MI
•Aortic dissection –‘tearing,’ mediast..
