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Download MBBS Important Topics Cardiovascular System

Download MBBS (Bachelor of Medicine, Bachelor of Surgery) Important Topics Cardiovascular System for MBBS 1st Year Important Topics, MBBS 2nd Year Important Topics, MBBS 3rd Year Important Topics & MBBS Final Year Important Topics.

This post was last modified on 24 July 2021

Tags:MBBSCardiovascular SystemImportant TopicsPDFDownload20211st Year2nd Year3rd YearFinal YearMedicalStudy MaterialfrdA240721A084055
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MBBS 2021 Important Topics and Materials for 1st Year, 2nd Year, 3rd Year and Final Year


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CARDIOVASCULAR SYSTEM

INTRODUCTION

  1. Name
  2. Age

    3. --- Content provided by FirstRanker.com ---

  3. Sex
  4. Handedness
  5. Resident of
  6. Education
  7. Occupation

    8. --- Content provided by​ FirstRanker.com ---

  8. Informant
  9. Reliability

CHIEF COMPLAINTS

  1. Xxxxxx – Onset and course
  2. Yyyyyy - onset and course
  3. Zzzzzzz – onset and course

    4. --- Content provided by⁠ FirstRanker.com ---

H/O PRESENT ILLNESS

  1. Chest Pain (Mnemonic – OLD CAARTS)
    1. Onset/location/duration/diurnal variation/Ch...
    2. Associated with(Nausea/vomiting/photophobia/phonophobia/ abnormal behavior/LOC /blurring of vision
    3. Red flag signs
    4. Preceded by aura
    5. Aggravated by/relieved by/timing/severity/

      6. --- Content provided by‍ FirstRanker.com ---

    6. Frequency (No of epis. in a day)/abn sweating
    7. Pain anywhere in the body/
    8. Diurnal variation/progress/present status
    9. NYHA Class

    2. --- Content provided by‌ FirstRanker.com ---

  2. Palpitations
    1. Onset – Rest/exertional, Duration
    2. Regular/irregular
    3. Aggravated/relieved by
    4. Associated with
      1. Presyncope/syncope/sweating/anxiety
      2. Post palpitations dieresis

        3. --- Content provided by‌ FirstRanker.com ---

    5. Progress/Present status
    6. NYHA Class
  3. Dyspnoea
    1. Onset

      2. --- Content provided by⁠ FirstRanker.com ---

    2. Progression
    3. Duration
    4. Rest same as for Palpitations
    5. Any Orthopnea/PND/Platypnea/Trepopnea
    6. Present status/NYHA Class

      7. --- Content provided by​ FirstRanker.com ---

  4. Easy Fatiquability
    1. Quantity and quality of the fatigue in terms of patient activity which he used to do before and now.
    2. Progress/Present status
    3. NYHA Class

    5. --- Content provided by‌ FirstRanker.com ---

  5. Syncope and pre-syncope
    1. As Described in CNS
  6. Cough and expectoration/Hemoptysis
    1. As described in Respiratory system
  7. Fever
    1. Onset/duration

      2. --- Content provided by FirstRanker.com ---

    2. Continuous/intermittent/remittent
    3. Any evening rise
    4. Subsides on medication/not
    5. Chills/rigors
    6. Associated headache/bodyache/sweating

      7. --- Content provided by‌ FirstRanker.com ---

  8. Anorexia and weight loss
  9. Recurrent respiratory tract infections
  10. Failure to thrive
  11. Cyanosis
    1. Location – Sclera/lips/tongue/tip of nose/ear lobule/finger/toes

      2. --- Content provided by​ FirstRanker.com ---

    2. Onset
    3. Lasted for
    4. Relieved by
    5. Any associated pain/paraesthesias

    12. --- Content provided by‌ FirstRanker.com ---

  12. Clubbing
  13. Hoarseness of voice
  14. Edema
    1. Onset
    2. Progress
    3. Extent

      4. --- Content provided by⁠ FirstRanker.com ---

    4. Any involvement of UL/Abdomen/Face/Sacral
  15. Hematuria/oliguria/anuria/dysuria/recurrent UTI
  16. H/O Rheumatic Fever
    1. Any joint pain/redness
    2. Subcutaneous nodules

      3. --- Content provided by⁠ FirstRanker.com ---

    3. Involuntary movements
  17. H/S/O Infective Endocarditis
    1. Joint pain/Petechiae/Puprpurae/ecchymoses
    2. Painful nodules over finger tips/Rash
    3. Hges under nail beds/discoloration of digits

      4. --- Content provided by​ FirstRanker.com ---

    4. Prolonged fever/Pain abdo/Visual disturbance
    5. Hematuria
  18. Bowel disturbance
  19. TIA/FND/Seizures

    20. --- Content provided by​ FirstRanker.com ---

  20. History s/o hpo/hyperthyroidism
    1. Hypothyroidism
      1. Tiredness/weakness/dry skin
      2. Cold intolerance/hair loss/memory loss
      3. Hoarseness of voice/Constipation
      4. Weight gain/Poor appetite

      2. --- Content provided by​ FirstRanker.com ---

    2. Hyperthyroidism
      1. Heat intolerance/palpitations/fatigue
      2. Increased appetite/weight loss
      3. Tremor/restlessness/Hyperdefecation
      4. Loss of libido

      3. --- Content provided by​ FirstRanker.com ---

  21. CTD history

PAST HISTORY

  1. DM/TB/HTN/Hansens/CAD/BA
  2. Similar illness in the past
  3. RHD History
    1. Joint pain/nodules/abnormal movt/rash

      2. --- Content provided by​ FirstRanker.com ---

    2. Recurrent sore throat/penicillin prophylaxis
    3. Digoxin therapy
  4. Blood transfusion/jaundice/Allergy
  5. Childhood infections

    6. --- Content provided by⁠ FirstRanker.com ---

PERSONAL HISTORY

  1. Veg/Non veg/Well water drinking/food habits
  2. Smoking/Tobacco/Alcohol/Substance abuse
  3. Marriage/Children
  4. High Risk behavior

MENSTRUAL HISTORY

  1. Menarche/Cycles/Menopause

    2. --- Content provided by​ FirstRanker.com ---

  2. LMP/Post menopausal bleed
  3. any surgery

FAMILY HISTORY

  1. H/O similar illness in the family
  2. Socioeconomic status/Poverty/overcrowded place

TREATMENT HISTORY

  1. Penicillin prophylaxis/digoxin/diuretics

    2. --- Content provided by‍ FirstRanker.com ---

  2. Surgery/intervention

SUMMARY

at the end of history.

  1. D/D 1, 2, 3, 4......

GENERAL EXAMINATION

  1. Conscious/oriented/cooperative/comfortably lying.........
  2. Ht/Wt/BMI/Arm length/upper segment/lower segment/neck:ht ratio.

    3. --- Content provided by‍ FirstRanker.com ---

  3. Pulse

    Rate/rhythm/volume/character/peripheral pulses/R-R & R-F Delay/pulse deficit/vessel wall/carotid bruit/shudder

  4. BP

    mm Hg/Rt Arm supine/No significant postural fall Hills sign – UL and LL BP difference, Take all four limbs

  5. RR – rate/rhythm/type

    6. --- Content provided by⁠ FirstRanker.com ---

  6. P/I/C/C/L/E
  7. JVP – Height/waveform/prominent wave/H-J reflex
  8. Peripheral signs of AR/IE/RF
  9. Marfanoid features/WHR
  10. Xanthoma/xanthelasma/Pseudoxanthoma elasticum/arcus senilis

    11. --- Content provided by​ FirstRanker.com ---

  11. Hypertelorism/low set ears/micrognathia/orange f..........
  12. Telengiectasias/bronze discoloration/acanthoma nigricans
  13. Features of hypo/hyper thyroidism
  14. acromegaly/marfans features
  15. Angioma/cutaneous angiomata/rash/petechiae/purpurae/ecchym.

    16. --- Content provided by​ FirstRanker.com ---

  16. Bed sores/genital ulcers
  17. Peripheral stigmata of TB/HIV
  18. Scars/sinuses/lupus perenio/erythema nodosum/lipemia retinalis
  19. Spine – K/S/KS

SYSTEMIC EXAMINATION

  1. CVS
    1. Inspection
      1. Chest wall symmetry/deformity/Precordial bulge

        2. --- Content provided by‍ FirstRanker.com ---

      2. Apical Impulse – site/no. of spaces visible
      3. Pulsation in precordium/epigastric/supraster./supracla.
      4. Scars/sinus/dilated veins
    2. Palpation
      1. Apical Impulse – site/no. of spaces visible/character

        2. --- Content provided by‌ FirstRanker.com ---

      2. Palpable sounds/thrill in apical area
      3. Palpable sounds/thrill in other areas
      4. Parasternal heave
      5. Origin of epigastric pulsations (Ru.......)

      3. --- Content provided by⁠ FirstRanker.com ---

    3. Auscultation
      1. S1
      2. S2 – A2/P2/loudness/split
      3. S3/S4
      4. OS/Ejection click/tumor plop/valve click
      5. Pericardial rub/knock

        6. --- Content provided by FirstRanker.com ---

      6. Murmur (Described below...later)
  2. RS
    1. Chest wall symmetry
    2. Trachea/resp movts/

      3. --- Content provided by FirstRanker.com ---

    3. Percussion
    4. Air entry/Breath sounds/adventitious sounds/pleural rub
  3. P/A
    1. Distended/all quadrants moves equally with the respiration
    2. Soft/Non tender/organomegaly/free fluid/bowel sounds

      3. --- Content provided by‌ FirstRanker.com ---

    3. Hernial sites/peripheral signs of liver failure
  4. CNS
    1. HMF/CN/Motor/Sensorycerebellar
    2. EPS/ANS

    5. --- Content provided by​ FirstRanker.com ---

Murmurs Description

  1. Middiastolic Murmur
    1. Low pitched/Rumbling/MDM
    2. In Apex/with bell of stethoscope
    3. With pt in left lateral position
    4. Breath held in expiration
    5. Assoc. with OS and presystolic accentuation

      6. --- Content provided by‍ FirstRanker.com ---

    6. Duration of murmur
    7. A2-OS gap
    8. Increased by mild exercise (few rapid sit ups)
  2. PSM IN MR
    1. Grade 3/6

      2. --- Content provided by⁠ FirstRanker.com ---

    2. PSM/Apex/diaphragm of stethoscope
    3. radiating to axilla
    4. Increased by hand grip
    5. reduced during strain phase of valsalva.

    3. --- Content provided by⁠ FirstRanker.com ---

  3. Seagull Murmur
    1. In case of rupture of tendinae or primary involvement of posterior mitral leaflet, a murmur mistaken as AS murmur, radiating to base of heart.
    2. Has a musical quality.
  4. PSM in TR
  5. AS Murmur
    1. Grade 3/6

      2. --- Content provided by⁠ FirstRanker.com ---

    2. Rough, rasping
    3. ESM (MSM)
    4. with diaphragm of stethoscope
    5. In aortic area/with pt sitting up/leaning forward
    6. Breath held in expiration

      7. --- Content provided by‌ FirstRanker.com ---

    7. Radiating to carotids
    8. Peaking of murmur/duration of murmur
    9. Dynamic auscultation
  6. Graham Steel Murmur
    1. PAH leading to PR and murmur thereof.

      2. --- Content provided by‌ FirstRanker.com ---

    2. High pitched
    3. EDM with decrescendo blowing murmur
    4. Along left sterna border
    5. Increases on inspiration
    6. Associated with loud P2

      7. --- Content provided by‌ FirstRanker.com ---

  7. MVP Murmur
    1. High pitched/systolic murmur
    2. Crescendo-decrescendo murmur
    3. Heard best in apex
    4. Associated with mid or late non ejection click.

      5. --- Content provided by​ FirstRanker.com ---

    5. Click and murmur occurs earlier and is louder with
      1. Standing
      2. Strain phase of valsalva
      3. Any intervention that decreases LV volume
    6. Click and murmur is delayed and is decreased in intensity

      7. --- Content provided by​ FirstRanker.com ---

      1. Squatting
      2. Isometric exercise
      3. Any intervention which increases LV volume
  8. AR Murmur
    1. High pitched

      2. --- Content provided by​ FirstRanker.com ---

    2. EDM with blowing and decrescendo character
    3. Best at 3rd Lt ICS along sterna border
    4. With diaphragm of stethoscope
    5. Pt sitting up and leaning forward
    6. Breath held in expiration

      7. --- Content provided by‌ FirstRanker.com ---

    7. Loudness of murmur/duration of murmur

NOTE

  1. Right sternal border heave – aneurysmal dilatation of aortic r.........

SUMMARY

At the end of examination

--- Content provided by FirstRanker.com ---

DIAGNOSIS

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This download link is referred from the post: MBBS 2021 Important Topics and Materials for 1st Year, 2nd Year, 3rd Year and Final Year

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This post was last modified on 24 July 2021