Evan Shared "Evan" - 125 Picmonics
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Evan
Aortic Stenosis
- Characteristics
- Age-related Calcifications
- Bicuspid Aortic Valve
- Crescendo-decrescendo Murmur
- Systolic Murmur
- Ejection Murmur
- Ejection Click
- Radiates to Carotids and Apex
- Pulsus Parvus et Tardus
- Syncope
- Helmet Cells
2 mins
Aortic Regurgitation
- Auscultation
- Diastolic Murmur
- Immediate High-pitched
- Blowing Murmur
- Clinical Findings
- Wide Pulse Pressure
- Water Hammer Pulse
- Head Bobbing
- Pulsating Nail Bed
- Considerations
- Can Cause Austin Flint Murmur
1 min
Mitral Stenosis
- Characteristics
- Murmur Follows Opening Snap
- Late Diastolic Murmur
- Enhanced by Expiration
- Low-Pitched Rumbling
- Dilation of Left Atrium (LA)
- Recurrent Attacks of Rheumatic Fever
2 mins
Mitral Regurgitation
- Characteristics
- Holosystolic
- Blowing Murmur
- Loudest at Apex
- Radiates toward Axilla
- Louder by Squatting
- Hand Grip
- Expiration
1 min
Kawasaki Disease
- Pathophysiology
- Prevalent in Asian Children
- Necrotizing Vasculitis
- Signs and Symptoms
- Fever
- Strawberry-Red Tongue and Mucosa
- Lymphadenopathy
- Desquamative Skin Rash
- Erythema and Edema of the Hands and Feet
- Conjunctivitis
- Coronary Aneurysm
- Treatment
- Intravenous Immunoglobulin (IVIG)
- Aspirin
2 mins
Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Syndrome)
- Pathophysiology
- Granulomatous Vasculitis
- Signs and Symptoms
- Sinusitis
- Skin Lesions
- Peripheral Neuropathy
- Asthma
- GI Disease
- Heart Disease
- Kidney Failure
- Diagnosis
- Eosinophilia
- p-ANCA
- Treatment
- Corticosteroids
4 mins
Takayasu Arteritis
- Pathophysiology
- Granulomatous Thickening of Aortic Arch
- Pulseless Disease
- Asian Females
- Signs and Symptoms
- Fever
- Myalgia
- Night Sweats
- Arthritis
- Ocular Disturbances
- Diagnosis
- Increased ESR
- Different Blood Pressures in Arms
2 mins
Temporal Arteritis
- Giant Cell Arteritis
- Granulomatous
- Old Females
- Clinical Features
- Polymyalgia Rheumatica
- Unilateral Headache
- Jaw Claudication
- Blindness
- Lab Findings
- Increased ESR
- Normal Serum Creatine Kinase
- Treatment
- Steroids
2 mins
Microscopic Polyangiitis
- Pathophysiology
- Necrotizing Small Vessel Vasculitis
- Signs and Symptoms
- Lungs, Kidneys, and Skin Commonly Affected
- Palpable Purpura
- Rapidly Progressive Cresentic Glomerulonephritis
- Diagnosis
- Lesions are Same Age
- Non-granulomatous
- Minimal Nasopharyngeal Involvement
- P-ANCA
- Treatment
- Corticosteroids
- Cyclophosphamide
2 mins
Granulomatosis with Polyangiitis (GPA) Characteristics
- Pathophysiology
- Small Vessel Vasculitis
- Necrotizing
- Lungs and Upper Airway
- Crescentic Glomerulonephritis
- DIAGNOSTICS
- c-ANCA
- X-ray
- Multiple Nodules in Lungs
- Treatment
- Cyclophosphamide
- Corticosteroids
- Rituximab
3 mins
Granulomatosis with Polyangiitis (GPA) Symptoms
- Upper Respiratory Tract
- Saddle Nose
- Perforation of Nasal Septum
- Chronic Sinusitis
- Otitis Media
- Mastoiditis
- Lower Respiratory Tract
- Cough
- Dyspnea
- Hemoptysis
- Kidney
- Rapidly Progressive Glomerulonephritis
- Hematuria
- RBC Casts
2 mins
Henoch-Schonlein Purpura
- Most Common Childhood Vasculitis
- Follows Pharyngeal or Respiratory Infection
- Palpable Purpura on Legs and Buttocks
- Arthralgia
- Intestinal Hemorrhage
- Black Stool (Melena)
- Associated with IgA Nephropathy
2 mins
Polyarteritis Nodosa
- Pathophysiology
- Immune Complex-Mediated Transmural Vasculitis
- Hepatitis B Association
- Fibrinoid Necrosis
- Signs and Symptoms
- Black Stool (Melena)
- Neurologic Dysfunction
- Myalgia
- Fever
- Hypertension
- Diagnosis
- Vessels / Lesions in Different Stages
- Renal Microaneurysms (On Arteriogram)
- Spares Pulmonary Arteries (No Pulmonary Involvement)
- Treatment
- Corticosteroids
- Cyclophosphamide
2 mins
Buerger's Disease
- Pathophysiology
- Thromboangiitis Obliterans
- Segmental Inflammation
- Strong Association with Smoking
- Signs and Symptoms
- Superficial Nodular Phlebitis
- Raynaud's Phenomenon
- Autoamputation
- Treatment
- Smoking Cessation
2 mins
Atrial Septal Defect (ASD)
- Pathophysiology
- Hole in Septum between the Atria
- Symptoms
- Often Asymptomatic
- Wide and Fixed Split S2
- Cyanosis and Dyspnea
- Easily Fatigued
- Diagnosis
- Chest X-ray shows Increased Pulmonary Vascular Markings
- Echocardiogram
- Treatment
- Surgery if CHF as Child
- Antibiotic Prophylaxis
- Most Close Spontaneously
2 mins
Ventricular Septal Defect (VSD)
- Pathophysiology
- Opening at Intraventricular Septum
- Most Common Congenital Heart lesion
- Symptoms
- High-pitched Holosystolic Murmer (over left sternal border)
- Dyspnea and Respiratory Distress
- Loud Pulmonic S2
- Diagnosis
- Echocardiogram
- Treatment
- Small VSDs Close Spontaneously
- Large VSDs Require Surgery
- Complications
- Endocarditis
- Eisenmenger's Syndrome
- CHF
2 mins
Persistent Truncus Arteriosus
- Common Arterial Trunk
- Single Trunk Emerges from Both Ventricles
- Symptoms
- Cyanosis
- Pulmonary Congestion
- Heart Failure
- Single S2 Sound
- Diagnosis
- Echocardiogram
- Chest X-ray
- Treatment
- Early Surgical Correction
- Avoids Pulmonary Hypertension
2 mins
K+ Sparing Diuretics
- Indications
- CHF and Hypertension
- Hypokalemia
- Hyperaldosteronism
- Mechanism of Action
- Collecting Tubule
- Spironolactone
- Competitive Aldosterone Receptor Antagonist
- Amiloride and Triamterene
- Block Na+ Channels
- Side Effects
- Hyperkalemia
- Gynecomastia
2 mins
Thiazide Diuretics
- Early Distal Tubule
- Inhibits Na/Cl Reabsorption
- Sulfa Drug
- Hyperglycemia
- Hyperlipidemia
- Hypercalcemia
- Hyperuricemia
- Hyponatremia
- Hypokalemic Metabolic Alkalosis
2 mins
Loop Diuretics
- Mechanism of Action
- Thick Ascending Limb of Loop of Henle
- Inhibits Na+-K+-2Cl- Symporter
- Sulfa Drug
- Drug Names
- Furosemide
- Lasix
- Side Effects
- Gout
- Ototoxicity
- Hypocalcemia
- Hypokalemia
4 mins
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