rapid fire family med EOR

tx for a flutter and a fib (long)

stable = non-di CCB or BB

unstable = TEE and synch cardioversion

afib if <48 hours → anticoag

PSVT tx

narrow tachy = vagal maneuvers → IV adenosine

wide tachy = antiarrhythmic (class I/III), IV procain if WPW

unstable: synch cardioversion

def tx: catheter ablation

WPW syndrome dx

delta wave

short pr interval

wide QRS

tx for WAP and MAT

non-di CCB

premature ventriuclar complex sx tx

sx tx = BB

ventricular tachycardia tx

stable: IV amiodarone or procainamide

unstable: synch cardio

pulseless: unsynch cardio

chronic: BB

v fib tx

unsynch cardio (defib) + CPR

burgada syndrome tx

ICD

procainamide and quinidine both cause what SE

lupus like syndrome

BB block _

signs of hypoglycemia

amiodarone SE

pulm fibrosis

thyroidisdisorder

hepatotoxicity

CCB SE

peripheral edema

verpamil SE

constipation (antimuscarinic)

digitalis toxicity

hyperkalemia

GI sx

yellow green vision

bradycardia

adenosine is used for

PSVT

amiodarone is for

wide tachycardia (stable)

think m is more wide than d?

statin SE

muscle**, liver, renal, glucose problems

myopathy

rhabdo

hepatotoxicity (reduce dose)

renal impairment

hyperglycemia

statin CI

pregnancy

ezetimibe SE

INC liver levels

nicotinic acid SE

INC prostaglandins

BAS SE

GI

prolong PT/INR

INC TG

most effective agent at reducing LDL

PCKS9 inhibitors (alirocumab and evolocumab)

fibrates SE

gallstones

salicylates SE

reye syndrome

ototoxicity

respiraotry alkalosis

ranolazine CI

QT prolongation

mineralcortoid receptor antagonist (MRA) SE

hyperkalemia

gynecomastia (blocks testosterone)

eplernone has low endocrine risk

loop diuretic SE

hyperglycemia

hyperuricemia

HCTZ SE

INC glucose, lipids, uric acid, calcium

SGLT SE

hypotension

UTI

GI

SGLT2 CI

DM

hypotension

URI

stable angina tx + definitive tx

BB, sublingual nitor, ASA, statin

definitive: angioplasty, bypass

nitro CI

hypotension

PDE-5

right ventricular infarction

ASA SE gives you an INC risk of?

INC risk of bleeding

renal injury

→ clopidogrel instead

gold standard for CAD

coronary angiography

UA/NSTEMI tx and what do you NOT give

ASA, nitro, anticoag (unfrac heparin), BB, dual antiplt (ASA + clopidogrel)

NO FIBROLINOLYTICS

STEMI TX

ASA, nitro, anticoag, BB, antiplt, reperfusion (PCI, CABG)

long term = ACEI

inferior/posterior STEMI tx

ASA, fluid, anticoag, dual antiplt, reperfusion

no nitro, morphine, CCB

Anterior MI

V1-V4 ST elevation, LAD or V1 and V2 elevation, proximal LAD

lateral MI

I, aVL, V5-6: circumflex

anterolateral MI

I, aVL, V4-v6: mid LAD, CFX, or L main

Inferior wall

II, III, avF - RCA

Posterior wall and artery

St depression V1 and V2 - RCA or CFX

most common sx LHF

dyspnea

most common cause of LHF

coronary artery disease

most common cause RHF

LHF

HFrEF tx

reduce sodium and fluids

ACEi, BB, MRA, SGLT2

dx of choice for HF

echo

2n1s congestive heart failure

kerley b lines

butterfly appearance

high BNP

cardiomegaly

dilatd cardiomyopathy PE

lateral displacement of PMI

positive fluid test

S3 gallop

myocarditis tx

supportive

#1 cause of myocarditis

idiopathic

restrictive cardiomyopathy cause

infiltrative disease (amyloidosis, sarcoid, hemochromatosis)

pt has INC JVD with inspiration. this is? seen in?

kussmauls

restrictive cardiomyopathy

hypertrophic cardiomyopathy sx 2n1s

S4 gallop

pulses bisferiens (bisphastic pulse)

DEC in murmur intense when INC veinous return

tx for HOCM

bb

hypertensive emergency tx

IV BP meds

encephalopathy/stroke → nicardipine/labetolol

aortic dissection tx if no complications

BB

ACS tx

nitro, BB

AHF tx

nitro, furosemide

aortic stenosis and mitral stenosis #1 sx

exertional dyspnea

aortic stenosis TOC

aortic valve replacement

cause of aortic regurg

endocarditis

aortic dissection

#1 cause of mitral stenosis

rheumatic heart disease

tx for mitral stenosis

balloon valvuloplasty

cause of mitral regurg

MVP

midsystolic click at apex = what + tx

MVP

(give BB only if sx)

graham steel murmur (high pitched decrescendo diastolic murmur LSB) makes you think?

pulm regurg

opening snap and inc in intensity with inspiratoin

tricuspid stenosis

“snap = stenosis”

triCUSpid sounds like a snap

carvall’s sign

INC murmur with inspiration

tricsupid regurg

tx of pericarditis

high dose NSAID and ASA w/ colchicine

refractory = sterid

dressler syndrome tx

ASA and colchicine

NO NSAID

pericardial knock makes you think

constrictive pericarditis

#1 RF for aortic dissection

HTN

tx for aortic dissection

surgery

IV BB only if acute descending dissection no complications

#1 sx of peripheral artery disease

claudicatino

tx of acute limb ischemia

supportive

if threatened → IV heparin

#1 RF for AAA

smoking

dx for AAA

CT with IV contrast (stable)

bedside U/S (unstable)

tx of AAA

immediate surgery

ASD dx

cardiomegaly

GS = echo

A = splits, split S2

continuous machinery murmur, wide pulse pressure

PDA

tx for PDA

IV indomethacin

(think indo = “indoors” = do PDA inside)

GS of CoA

angiogram

2n1s CoA

rib notching

bilateral claudication

systolic murmur radiates to back

CoA tx

ballon angioplasty

prostagalndin

surgery

2n1s tetralogy of fallot

boot shaped heart (RVH = big heart)

pulmonary stenosis

tet spels

transplantation of great arteries 2n1s

“egg on string” appearance, cardiomegaly

single S2

VSD tx

observation

if sx → close

DVT cause

surgery, genetics

macular degeneration

waviness in central vision

drusen

amaurosis fugax is assoc with

giant cell arteritis

PMR

tx of GCA

IV methylprednisolone

(HIGH DOSE corticosteroids) → then later you can do oral prednisone

corneal abrasian dx

slit lamp → fluorescin staining

corneal abrasian tx

test visual acuity*

erythomycin ointment!

orbital cellulitis 2n1s

limitation/pain with eye movement

orbital cellulitis tx

IV vanco and ceftriaxone

SCC RF

tobacco

otitis media tx

amoxicillin**/augmentin

if delayed/allergic rxn → azi, clarithro, or clinda

2nd line = cefdinir

bullous myringitis cause

strep neu

sialadenitis cause

staph aureus