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Acyanotic Heart Disease
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, Mitral Valve Disease 2 Questions
Mitral Stenosis
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o Diastolic, low pitched rumbling, opening snap
§ Operating System is MicroSoft” – OS is MS
§ Louder in left lateral recumbent position
o Heard best at apex
o Symptoms: dyspnea + a-fib,
§ RHF=hemoptysis + RVH
§ Graded with NYHA classification
· Stage 1: asx– gradual ↓exercise tolerance
· Stage 2: Pulmonary congestion
· Stage 3: pulmonary HTN (severe, asx)
· Stage 4: Severe ↓CO sx a/w exercise intolerance
o Treatment
§ Treat underlying anemia, fluid overload, and afib
§ Surgical intervention if stage C or D
What is a positive asthma profile?
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One or more of the following:
Atopic dermatitis
Sensitization to aeroallergen
Parental history of asthma
or