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s/s of acute arterial occlusion
pain pallor, paresthesis, paralysis, pulselessness, polar
s/s of chronic arterial occlusion
atrophy of skin, hair loss, brittle toe nails, cool skin, decrease pulses, bruits, dry scaly skin
s/s burgers dz
tissue necrosis, digital ulcers, absent pulses, never just one limb
what is most important in burgers dz
smoking cessation
what is virchow's triad
venous stasis, injury, hypercoaguable state
s/s of chronic venous insufficency
unilateral, asymmetrical, puritis, skin ulcerations (medial malleolus) stasis dermatitis
what is the MCC of heart transplant
dialated cardiomyopathy
which cardiomyopathy is ass with alcoholics
dilated cardio myopathy
which cardiomyopathy is ass with young athlestes
IHSS
sinus arrhythmia
slow increase and decrease in rate
sinus block
compensates; entire PQRST missing
sinus arrest
doesnt compensate; entire PQRST missing
junctional brady
less than 40
junctional
40-60
accelerated junctional
60-100
junctional tach
over 100
agonal
less than 20
idioventricular
20-40
accelerated idioventricular
40-100
v tach
over 100
what is seen in RBBB
V1: QRS wide and mostly positive, bunny ears:: aVL, V5, V6: wide deep s
what is seen in LBBB
V1: QRS wide and mostly negative:: V5-V6 RSR
normal axis:
positive lead 1 and aVF
left axis
lead 1 positive avF negative
right axis
lead 1 negative aVF positive
extreme right axis
lead 1 neagative aVF positive
right atrial hypertorphy
first part of biphasic P wave in V1 higher than second part:: peaked P in lead II
atrial hypertrophy
biphasic P wave in V1; also look at lead II
left atrial hypertrophy
second part of piphasic P wave in V1 higher than first part:: m shaped positive P in lead II