mudphudder

D igoxin

B -blockers

A denosine

V erapamil

C ongenital

R heumatic damage

E ndocarditis

A ortic dissection/A ortic root dilation

M arfan's

S yncope

A ngina

D yspnoea

H eaving

I mpalpable

L aterally displaced

T hrusting/T apping

C OPD

O besity

P leural, P ericardial effusion

D extrocardia

D extrocardia (don’t say this first!)

O besity

P ericarditis/P ericardial tamponade/P neumothorax

E mphysema

S hock/S inus inversus/S coliosis/S keletal abnormalities (e.g. pectus excavatum)

A trial Myxoma

R h heart dis

HY pertension

TH yrotoxicosis

M itral valve dis

I HD

AL cohol

P neumonia /PE / Pericardial eff

C ardiomyopathy

P ulmonary: PE, COPD

I atrogenic

R heumatic heart: mirtral regurgitation

A therosclerotic: MI, CAD

T hyroid: hyperthyroid

E ndocarditis

S ick sinus syndrome

A lcohol

S tenosis

H ypertension

I nfarction/I schemia

T hyrotoxicosis

A lcohol

R h fever

I HD

T hyrotoxicosis

H ypertension

M itral stenosis/M I /M yxoma (atrial)

A SD

T oxins

I diopathic/I nfective endocarditis

C ardiomyopathy/Constrictive pericarditis

A nti-coagulate

B eta-blocker to control rate

C ardiovert

D igoxin

Atropine is used clinically to treat Bradycardia

D istant heart sounds

D istended jugular veins

D ecreased arterial pressure

B etaxolol

A cebutelol

E smolol

A tenolol

M etoprolol

Beta-1 receptors are primarily on the heart, and the airway is Beta-2 receptors

P hysiological (athlete, sleep) /p aroxysmal

A V block (2°II, 3°)

D rugs (beta, dig, amiodarone)

H ypothyroid /h ypothermia

I cteric (severe)

M I

F orgot medication

A rrhythmia/A naemia

I schemia/I nfarction/I nfection

L ifestyle: taking too much salt

U pregulation of CO: pregnancy, hyperthyroidism

R enal failure

E mbolism: pulmonary

D epressed ventricular function

U nstable angina

S tenosis of the left main stem

T riple vessel disease

H TN

O besity

P VD

E levated LDL

F MH

U p glucose - DM

L ow HDL

S moking

S ex - male

S edentary life style

Truncus Arteriosus (1 vessel)

Transposition of the 2 great vessels

Tricuspid atresia

Tetralogy of Fallot

Total anomalous pulmonary venous return (has 5 words)

D rooping valve (MVP)

E nlargement of LV with strain

P otassium loss (hypokalemia)

R eciprocal ST-depression (in I/W AMI)

E mbolism in lungs (pulmonary embolism)

S ubendocardial ischemia

S ubendocardial infarct

E ncephalon haemorrhage (intracranial haemorrhage)

D ilated cardiomyopathy

S hock

T oxicity of digitalis, quinidine

W pattern in V1-V2 and M pattern in V3-V6 is Left bundle block.

M pattern in V1-V2 and W in V3-V6 is Right bundle block.

Note: consider bundle branch blocks when QRS complex is wide

I schemia

N ormality [esp. young, black]

V entricular hypertrophy

E ctopic foci [eg calcified plaques]

R BBB, LBBB

T reatments [digoxin]

W PW

O ld MI

R BBB

D extrocardia

E lectrolytes

L BBB (Left Bundle Branch Block)

E arly Repolarization

V entricular hypertrophy

A neurysm

T reatment (eg pacemaker, pericardiocentesis)

I njury (AMI, contusion)

O sborne waves (hypothermia)

N on-occlusive vasospasm (prinzmetal’s)

P ulmonary embolus

A cidosis

T ension pneumothorax

C ardiac tamponade

H ypokalemia/H yperkalemia/H ypoxia/H ypothermia/H ypovolemia

M yocardial infarction

E lectrolyte derangements

D rugs

R ecent MI

A ortic stenosis

M I in the last 7 days

P ulmonary hypertension

H ypothermia

H ypo & hyper-electrolytes

H ypovolaemia

H ypoxia

T oxic (including drugs)

T rauma

T amponade

T ension pneumothorax

S ymphatoadrenal system

A trial natriuretic factor

V asopressin

E ndogenous digitalis-like factor

R enin-angiotensin-aldosterone system

F ailure

I ncompetence (mitral/tricuspid)

P regnancy/Pill

P E/Pericarditis

Y outh

S tenosis (aortic/pulmonary)

H ypertension/Heart Block

I schaemic HD

T amponade

Left Atrium: Bicuspid

Right Atrium:Tricuspid

A trial contraction

S ystole (ventricular contraction)

K losure (closure) of tricusps, so atrial filling

M aximal atrial filling

E mptying of atrium

M ultiple wave form

O ccludable

P ostural changes

H epatojugular reflex

A bove (fills from)

I mpalpable

R espiratory changes

F rusemide 40mg iv

O xygen

A trovent (& Ventolin) nebs

M orphine 2.5 – 5 mg

P ulm BP up

A fib

S ystemic embolism

T ricuspid regurg

R ight heart failure

I nfective endocarditis

MR is a male title (Mr.) and it is male predominant.

I ntensity

L ocation

P itch

Q uality

R adiation

S hape

T iming

S ite

C haracter (e.g. harsh, soft, blowing)

R adiation

I ntensity

P itch

T iming

A rrhythmias/A neurysm

B radycardia/BP lower

C ardiac failure/C ardiac tamponade

D resslers /D eath

E mbolism /E xtra (VSD, pap muscle rupture)

I V access

N arcotic analgesics (e.g. morphine, pethidine)

F acilities for defibrillation (DF)

A spirin/A nticoagulant (heparin)

R est

C onverting enzyme inhibitor

T hrombolysis

I V beta-blocker

O xygen 60%

N itrates

S tool softeners

B ed rest

O xygen

O piate

M onitor

A nticoagulate

R educe clot size

P ersistant chest pain

U pset stomach

L ightheadedness

S hortness of breath

E xcessive sweating

C yclomorph

O xygen

A spirin

G lycerol trinitrate

R eassure

O xygen

A spirin

M orphine (diamorphine)

B eta blocker

A rthroplasty

L ignocaine

P ain

P allor

P ulseless

P arasthesia

P aralysis

P erishing with cold

D resslers

R h fever /R A

U raemia

M I

S LE

T rauma

I diopathic

C oxsackie

X –ray

H ypovolaemia / hypopituitarism

A ddisons

N europathy (autonomic)

D rugs (vasodilators / TCADs, diuretics, antipsychotics)

I diopathic

C arditis

A rthritis (migratory)

S ubcut nodules

E rythema marginatum

S yndenhams chorea

J oints (migrating polyarthritis)

O bvious, the heart (carditis, pancarditis, pericarditis, endocarditis or valvulits)

N odes (subcutaneous nodules)

E rythema marginatum

S ydenham's chorea

P yrexia

P rolonged PR

P ast Hx

P ositive (ie ?)ESR/CRP

A rthralgia

C RP increased

A rthralgia

F ever

E levated ESR

P rolonged PR interval

A namnesis of rheumatism

L eucocytosis

T rauma

R A

I nfective Endo

P AN

S LE / Sepsis

A naemia (profound)

M alignancy (haematological)

S inus tachy

N odal tachy

A fib

P aroxysmal atrial tachy

A denosine

B eta-blocker

C alcium channel antagonist

D igoxin

E xcitation (vagal stimulation)

L idocaine

A miodarone

M exiltene/ Magnesium

B eta-blocker

T hyroid disease (hyper-)

R enovascular disease (renal artery stenosis)

A orta, coarctation of

C ushing syndrome

K idney disease, chronic

P heochromocytoma

A ldosteronism (hyper-)

D rugs (e.g. oral contraceptives, decongestants, NSAIDS)

S leep apnea