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HOTPANCE PA Board Review

HOTPANCE PA Board Review

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HOTPANCE PA Board Review

HOTPANCE PA Board Review

HOTPANCE PA Board Review

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Followers
3
Plays
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Physician assistant PANCE/PANRE board review in audio format. Let’s pass together.

Latest Episodes

Cardiology #4 – Congestive Heart Failure

Chronic vs. Acute, NYAA / AHA classification, R side vs L side, treatment guidelines.

17 MIN2016 APR 22
Comments
Cardiology #4 – Congestive Heart Failure

Cardiology #3 – Congenital Heart Disorders

Atrial Septal Defect (ASD) Coarctation of aorta Patent ductus arteriosus (PDA) Tetralogy of Fallot Ventricular septal defect (VSD) Transposition of Great Vessels (not listed on blueprint) Also available on on the iTunes Podcasts app!

13 MIN2016 MAR 11
Comments
Cardiology #3 – Congenital Heart Disorders

Cardiology #2 – Conduction Disorders

Episode 2 – Conduction Disorders Hot Points: * Atrial Fibrillation * Irregularly irregular w/ no P waves * Atrial Flutter * Sawtooth pattern * Atrioventricular block * 1st degree – PR interval >0.2 sec * 2nd degree Type I (Wenckebach) “going going going gone” * 2nd degree Type II (Mobitz) dropped QRS complex– Pacemaker! * 3rd degree – Complete AV dissociation, wide QRS, independent P waves * Bundle branch block * Rabbit ears! RBBB V1/V2 LBBB V5/V6 * indicates raised pressures, hypertrophy, possible previous ant. MI * Paroxysmal supraventricular tachycardia * SVT– not serious, vagal maneuvers, sync. cardioversion * Premature beats * PVCs, may herald the onset of other problems * Sick sinus syndrome * degenerative changes, tx w/ pacemaker * V-Fib * Chaotic non-discernable rhythm — Shock em!! * Ventricular tachycardia * Usually hypoK+, hypo Mg++ Sync. Cardioversion * Torsades de pointes * Think hypokalemia/hypomagnesia * Give MgSO4!

12 MIN2016 MAR 2
Comments
Cardiology #2 – Conduction Disorders

Cardiology #1 – Myopathies

Episode 1 – Dilated, Restrictive, and Hypertrophic Obstructive Cardiomyopathy. Hot Points: Dilated: systolic failure, thinning and weakening of the ventricles, low EF * most common form by far * defined as EF <40% * likely hx: ETOH, HIV+, Hep C, ischemic disease / previous MI (but here’s a more comprehensive list ofCauses) * 50% of cases idiopathic, no cause found * Mitral & Tricuspid Regurg. usually present. * Tx w/ diuretics, Restrictive: diastolic failure, filling problem, normal EF * stiff fibrotic ventricular walls of normal size, * usually caused by Amyloidosis or Sarcoidosis * increased diastolic pressure leading to back up into the lungs. * MUST DDx from Restrictive Pericarditis * Tx w/ Beta Blockers or Ca++ Blockers to lower rate and increase filling time, pacemaker, transplant. * Hypertrophic: diastolic failure, LV thickening of wall and septum * septum thickening leads to outflow obstruction * usually genetically inherited (autosomal dominant) * Murmur of HOCM increases...

17 MIN2016 FEB 25
Comments
Cardiology #1 – Myopathies
the END

Latest Episodes

Cardiology #4 – Congestive Heart Failure

Chronic vs. Acute, NYAA / AHA classification, R side vs L side, treatment guidelines.

17 MIN2016 APR 22
Comments
Cardiology #4 – Congestive Heart Failure

Cardiology #3 – Congenital Heart Disorders

Atrial Septal Defect (ASD) Coarctation of aorta Patent ductus arteriosus (PDA) Tetralogy of Fallot Ventricular septal defect (VSD) Transposition of Great Vessels (not listed on blueprint) Also available on on the iTunes Podcasts app!

13 MIN2016 MAR 11
Comments
Cardiology #3 – Congenital Heart Disorders

Cardiology #2 – Conduction Disorders

Episode 2 – Conduction Disorders Hot Points: * Atrial Fibrillation * Irregularly irregular w/ no P waves * Atrial Flutter * Sawtooth pattern * Atrioventricular block * 1st degree – PR interval >0.2 sec * 2nd degree Type I (Wenckebach) “going going going gone” * 2nd degree Type II (Mobitz) dropped QRS complex– Pacemaker! * 3rd degree – Complete AV dissociation, wide QRS, independent P waves * Bundle branch block * Rabbit ears! RBBB V1/V2 LBBB V5/V6 * indicates raised pressures, hypertrophy, possible previous ant. MI * Paroxysmal supraventricular tachycardia * SVT– not serious, vagal maneuvers, sync. cardioversion * Premature beats * PVCs, may herald the onset of other problems * Sick sinus syndrome * degenerative changes, tx w/ pacemaker * V-Fib * Chaotic non-discernable rhythm — Shock em!! * Ventricular tachycardia * Usually hypoK+, hypo Mg++ Sync. Cardioversion * Torsades de pointes * Think hypokalemia/hypomagnesia * Give MgSO4!

12 MIN2016 MAR 2
Comments
Cardiology #2 – Conduction Disorders

Cardiology #1 – Myopathies

Episode 1 – Dilated, Restrictive, and Hypertrophic Obstructive Cardiomyopathy. Hot Points: Dilated: systolic failure, thinning and weakening of the ventricles, low EF * most common form by far * defined as EF <40% * likely hx: ETOH, HIV+, Hep C, ischemic disease / previous MI (but here’s a more comprehensive list ofCauses) * 50% of cases idiopathic, no cause found * Mitral & Tricuspid Regurg. usually present. * Tx w/ diuretics, Restrictive: diastolic failure, filling problem, normal EF * stiff fibrotic ventricular walls of normal size, * usually caused by Amyloidosis or Sarcoidosis * increased diastolic pressure leading to back up into the lungs. * MUST DDx from Restrictive Pericarditis * Tx w/ Beta Blockers or Ca++ Blockers to lower rate and increase filling time, pacemaker, transplant. * Hypertrophic: diastolic failure, LV thickening of wall and septum * septum thickening leads to outflow obstruction * usually genetically inherited (autosomal dominant) * Murmur of HOCM increases...

17 MIN2016 FEB 25
Comments
Cardiology #1 – Myopathies
the END
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