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Crucigrama Sopa de Letras Hoja de Trabajo
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Valvular Disorders

Horizontales
High pitched, decrescendo diastolic murmur, wide split S2
Porcine or bovine; less risk of thrombosis
Congenital, Rheumatic Heart Disease, parasternal lift, prominent thrill, wide fixed S2, high pitched murmur second left ICS radiating to L shoulder
Maneuver which decreases intensity of aortic stenosis; increase in intrathoracic pressure
TOC for domed pulmonary valve stenosis
Hyperdynamic PMI; widened pulse pressure, visible carotid pulse; pulsating nail bed; LSB 3rd-4th ICS
Mid-systolic click; accentuated in standing position or valsalva maneuver
SOB at night, abruptly waking up from SOB
"water hammer pulse"
SOB relieved with sitting up or standing
Verticales
Pulsation of the nail bed
Irregularly irregular arrythmia seen with mitral stenosis
Life-long AC, 2.5-3.5, high risk of thrombosis
Recommended in patients with severe AS
Thickening of leaflets; diastolic murmur, left lateral decubitus, PND
Nonsurgical option; via catheter in artery and valve replacement
MC outflow obstruction, only right heart sound that decreases with inspiration
Bobbing of the head
Papillary muscle rupture, fatigue, DOE, high pitched, apex to axilla
Rheumatic Heart Disease, common in females, cannon a wave, bioprosthetic valve replacement