Cardiology
Help!
|
|
||||
|---|---|---|---|---|---|
| Initial dx test to screen for & follow known AAA = | Abdominal US
🗑
|
||||
| Abdominal US: advantages | 100% sensitivity, no contrast, low cost
🗑
|
||||
| AAA: CT scan | pre-op or if US indeterminate; better defines shape & location/ extent of AAA
🗑
|
||||
| AAA: Catheter aortography may: | underestimate diameter
🗑
|
||||
| TAA Evaluation | CXR; Echo (TTE vs TEE); CT/ MRI
🗑
|
||||
| TAA: CXR for dx: | CXR NOT dx alone (need CT or MRI to r/out if CXR neg)
🗑
|
||||
| Aortic Dissection Eval: CXR = | wide aortic silhouette & mediastinum, poss L sided pleural effusion
🗑
|
||||
| Aortic Dissection Eval: Echo = | 98% sensitive, 99% specific, +/- pericardial effusion, done bedside
🗑
|
||||
| Aortic Dissection Eval: CT helpful in: | acute presentation
🗑
|
||||
| Aortic Dissection Eval: MRA/MRI useful for: | serial follow up
🗑
|
||||
| Aortic Dissection Eval: EKG = | LVH, nonspecific or inferior abnormalities (dissections preferentially extend into Right coronary ostium)
🗑
|
||||
| DVT Evaluation | D-dimer; LE Doppler/ US; if PE suspected, VQ scan versus spiral CT; hypercoaguable w/u if no identifiable predisposing event
🗑
|
||||
| a break down product of a thrombus | d-dimer
🗑
|
||||
| characteristic of d-dimer | sensitive, but not specific
🗑
|
||||
| d-dimer is best for _______ DVT, or PE | ruling out
🗑
|
||||
| gold standard for suspected DVT, however it is rarely done | contrast venography
🗑
|
||||
| most common and practical means of detecting DVT | ultrasound
🗑
|
||||
| most common test for PE | spiral CT
🗑
|
||||
| gold standard for PE but rarely done | pulmonary arteriogram
🗑
|
||||
| CHF on CXR | Fluffy bilateral edema, Kerley B Lines, pleural effusions
🗑
|
||||
| cardiac biomarkers for stable/unstable angina | always negative
🗑
|
||||
| CHF: Cardiac Cath consists of: | Left ventriculogram; Arch shot; Coronary angiography to assess for blockages
🗑
|
||||
| Cardiac Cath: Indicated in: | MI, USA
🗑
|
||||
| Kerley B lines = | sharp, linear densities of interlobular interstitial edema
🗑
|
||||
| CHF: Echo provides: | structural, anatomic & physiologic info about the heart
🗑
|
||||
| BNP: relationship to CHF: | BNP secreted from ventricles under stress in CHF
🗑
|
||||
| BNP may be falsely elevated in: | renal failure
🗑
|
||||
| HTN eval labs | UA; serum Cr, glu, K+, Na+ ; Lipids (TC, trigs, HDL, LDL); 12-Lead EKG (LVH)
🗑
|
||||
| Venous Thromboembolism: Screen with: | duplex Doppler venous ultrasound
🗑
|
||||
| Echo: TTE vs TEE | TTE only good to visualize aortic root (good for Marfan); TEE to visualize entire aorta, but is semi invasive (CT/ MRI better)
🗑
|
||||
| Hx angina but no acute sx; EKG no acute changes; next step: | Do exercise stress test
🗑
|
||||
| Diagnostic features of systolic CHF | Echo reduced EF; CXR Cardiomegaly; CXR Pulm edema
🗑
|
||||
| Diagnostic features of diastolic CHF | Echo LVH; EKG LVH; CXR Pulm edema
🗑
|
||||
| Echo features present in systolic HF & absent in diastolic HF | Reduced EF; LV dilation
🗑
|
||||
| In a pt with HTN, CAD, A-fib, and multiple TIA episodes in last 2 weeks (currently asymptomatic), what test is next step in mgmt? | TEE
🗑
|
||||
| Patient with hx of HTN and CAD presenting with substernal CP is given SL NTG and then has syncope. What is next diagnostic step in mgmt? | TTE
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Abarnard
Popular Radiology sets