Rejected
at 2:52 a.m. Nov, 01, 2023 ]
by
Ahmed7
Author:
per011
Rationale for change
Should be one by one with this many clozes
Rejection reason
not popular enough, might be too much keeping c2 as c1 as well since needed to work the 1by1
Current
Suggested
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- Blood pressure differential between the upper and lower extremities is seen with aortic coarctation, which can present with hypertension, headaches, blurred vision, epistaxis, and lower extremity claudication (due to reduced blood flow). A continuous murmur can be heard at the left interscapular area due to turbulent flow across the coarctation or through large collateral vessels.
- Congenital heart defects only account for 2% of heart disease in adults. They are low-yield.
Photo credit: Koletsis et al., CC BY 2.0, via BMC; Image(s) provided by www.radiologyassistant.nl. Used with permission.
- Murmur can be systolic OR continuous. In contrast, PDA is a continuous murmur heard at the left subclavicular region that is "machinery" or "to-and-fro", reflecting the wide pulse pressure it creates
- All symptoms are related to either excess blood flow in the upper half of the body (headache, cerebral aneurysms, aortic dissection), or insufficient blood flow in the lower half of the body (underdevelopment, cold legs, claudication with exercise, leg fatigue, delayed femoral pulses). ECG shows LVH.
- Blood pressure differential between the upper and lower extremities is seen with aortic coarctation, which can present with hypertension, headaches, blurred vision, epistaxis, and lower extremity claudication (due to reduced blood flow). A continuous murmur can be heard at the left interscapular area due to turbulent flow across the coarctation or through large collateral vessels.
- The diagnosis of CoA is confirmed by echocardiogram, which visualizes the aortic narrowing and also helps identify other commonly associated congenital heart defects (e.g., bicuspid aortic valve)
- Alternative treatment option: percutaneous balloon aortoplasty
- Congenital heart defects only account for 2% of heart disease in adults. They are low-yield.
Photo credit: Koletsis et al., CC BY 2.0, via BMC; Image(s) provided by www.radiologyassistant.nl. Used with permission.
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
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Sketchy 2
Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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OME
Additional Resources
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One by one
y