Term
| Class I Functional Limitation |
|
Definition
| no dyspnea, no functional limitation |
|
|
Term
| Class II functional limitation |
|
Definition
dyspnea on more than usual activities
can (w/o symptoms) climb 2 flights of stairs or walk 2 blocks |
|
|
Term
| Class III functional limitation |
|
Definition
dyspnea on less than usual activities
cannot (w/o symptoms) climb 2 flights of stairs or walk 2 blocks |
|
|
Term
| Class IV functional limitation |
|
Definition
| dyspnea at rest or with activity |
|
|
Term
|
Definition
| arotic regurg, anemia, thyrotoxicosis, pregnancy |
|
|
Term
| narrow pulse pressure, ddx |
|
Definition
| aortic stenosis, severe LV dysfx, severe volume depletion, mitral stenosis, shock of any cause |
|
|
Term
| pulsus parvus et tardus, ddx |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
pericardial tamponade
(pericardial constriction, obstructive lung disease, massive PE, RV infarction) |
|
|
Term
| Kussmal sign, define & ddx |
|
Definition
abnormal increase (or failure to decrease) in JVP with inspiration
pericardial constriction (RV infarction, severe RV failure) |
|
|
Term
| large jugular vein v wave, ddx |
|
Definition
|
|
Term
|
Definition
| complete heart block (AV dissociation) |
|
|
Term
| laterally displaced PMI, ddx |
|
Definition
|
|
Term
|
Definition
| thin person, high flow state, mitral regurg, aortic regurg |
|
|
Term
|
Definition
|
|
Term
| parasternal heave at left sternal border, ddx |
|
Definition
|
|
Term
| palpable pulm a in 2nd L intercostal, ddx |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| mitral stenosis, short PR, rapid HR |
|
|
Term
|
Definition
|
|
Term
| paradoxic S2 split, define & ddx |
|
Definition
A2 later than P2 during expiration, unison during inspiration
left bundle branch block |
|
|
Term
| persistent (wide) S2 split, define & ddx |
|
Definition
P2 later than A2 during inspiration and expiration (wider in inspiration than expiration)
right bundle branch block |
|
|
Term
| fixed S2 split, define & ddx |
|
Definition
P2 later than A2 during inspriation and expiration (consistent timing of split)
atrial septal defect |
|
|
Term
|
Definition
|
|
Term
|
Definition
| stiff ventricle, LVH, ischemia, HTN |
|
|
Term
|
Definition
|
|
Term
|
Definition
| constrictive pericarditis |
|
|
Term
|
Definition
|
|
Term
| systolic ejection click, ddx |
|
Definition
|
|
Term
|
Definition
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