PANCE Blueprint Cardiology (16%)

PANCE Blueprint Cardiology (16%)

PANCE Blueprint Cardiology (16%)

Follow along with the NCCPA™ PANCE and PANRE Cardiology Content Blueprint

  • 52 PANCE and PANRE Cardiology Content Blueprint Lessons (see below)
  • Cardiology Pearls Flashcards
  • 10 Cardiology Content Blueprint high yield summary tables
  • 147 Question Cardiology Exam (available to paid subscribers)
  • ReelDx integrated video content (available to paid subscribers)

Lessons

  1. Cardiology Comprehensive Exam (Members Only)

  2. Cardiology Flashcards (Members Only)

    1. EKG Cram Cards

    2. EKG Pearls and Pitfalls (video)

    1. Hypertrophic Cardiomyopathy

      On physical examination you note a medium-pitched, mid-systolic murmur that decreases with squatting and increases with straining
    2. Restrictive Cardiomyopathy

      History of infiltrative process. Caused by deposition into or between myocardial cells: Amyloidosis, hemochromatosis, sarcoidosis, scleroderma, fibrosis, cancer.
    1. Atrial fibrillation/flutter (ReelDx)

    2. Atrioventricular block

    3. Bundle branch block

    4. Paroxysmal supraventricular tachycardia

    5. Premature beats

    6. Sick sinus syndrome

    7. Ventricular tachycardia (ReelDx)

    8. Ventricular fibrillation

    9. Torsades de pointes

    1. Atrial septal defect

      Noncyanotic - Foramen ovale fails to close. Wide fixed split second heart sound (S2). Systolic ejection murmur at second left intercostals space with an early to mid-systolic rumble
    2. Coarctation of the aorta

      Noncyanotic - Higher blood pressures in the arms than in the legs and pulses are bounding in the arms but decreased in the legs.
    3. Patent ductus arteriosus

      Noncyanotic - A continuous "machinery murmur" at the upper left sternal border
    4. Tetralogy of Fallot

      Cyanotic - Four features "PROVe":Pulmonary Stenosis, Right ventricular hypertrophy, Overriding aorta, Ventricular septal defect
    5. Ventricular septal defect

      Noncyanotic - VSD is the most common pathologic murmur in childhood. Loud, harsh, pansystolic murmur at the lower left sternal border.
  3. Heart Failure (ReelDx)

  4. Hypertension (PEARLS)

    1. Primary hypertension (formerly essential)

    2. Secondary hypertension

    3. Hypertensive emergencies

  5. Hypotension (PEARLS)

    1. Cardiogenic shock

    2. Orthostatic hypotension

  6. Coronary Heart Disease (PEARLS)

    1. Acute myocardial infarction (PEARLS)

      1. Non-ST-Segment Elevation MI (NSTEMI)

      2. ST-Segment Elevation Myocardial Infarction (STEMI)

    2. Angina pectoris (PEARLS)

      1. Stable angina

      2. Unstable angina

      3. Prinzmetal variant angina

  7. Vascular Disease (PEARLS)

    1. Aortic aneurysm/dissection

    2. Arterial embolism/thrombosis

    3. Giant cell arteritis

    4. Peripheral artery disease

    5. Phlebitis/thrombophlebitis

    6. Varicose veins

    7. Venous insufficiency (ReelDx)

    8. Venous thrombosis

  8. Valvular Disorders (PEARLS and Flashcards)

    1. Aortic stenosis (ReelDx)

      SYSTOLIC HARSH EJECTION CRESCENDO-DECRESCENDO murmur at RUSB with RADIATION to the NECK and APEX
    2. Aortic regurgitation (Diastolic Murmur)

      Soft HIGH PITCHED, BLOWING DIASTOLIC murmur along LSB with patient sitting, leaning forward after exhaling
    3. Mitral stenosis (Diastolic)

      DIASTOLIC low-pitched DECRESCENDO and rumbling with OPENING SNAP
    4. Mitral regurgitation

      BLOWING HOLOSYSTOLIC murmur at APEX with a SPLIT S2
    5. Mitral valve prolapse

      MIDSYSTOLIC EJECTION CLICK heard best at APEX
    6. Tricuspid stenosis

      MID DIASTOLIC RUMBLING at LLSB with OPENING SNAP
    7. Tricuspid regurgitation

      HIGH PITCHED HOLOSYSTOLIC murmur at Lower LSB
    8. Pulmonary stenosis

      HARSH, LOUD, MEDIUM -PITCHED SYSTOLIC MURMUR HEARD BEST AT THE 2nd /3rd LEFT INTERCOSTAL SPACE that MAY DECREASE WITH INSPIRATION
    9. Pulmonary regurgitation

      High pitched decrescendo murmur at the LUSB that increases with inspiration
  9. Other Forms of Heart Disease (PEARLS)

    1. Acute and subacute bacterial endocarditis (ReelDx)

    2. Acute pericarditis (ReelDx)

      Persistent, pleuritic, postural pain (worse when lying down and relieved with sitting up or leaning forward) with a pericardial friction rub
    3. Cardiac tamponade

    4. Pericardial effusion (ReelDx)