Congestive heart failure 

11/13/2006

Read History: Marlana

Read Physical examination: Linda

Read and interpret Lab: Sara

What are the symptoms of congestive heart failure? Explain the patho-physiology for each. Marlana

• Exertional dyspnea  
• Paroxysmal nocturnal dyspnea 
• Orthopnea
• Cough
• Fatigue 
• Anorexia
• Edema

Describe the physical findings of congestive heart failure Linda

• Patient’ appearance
• Diaphoresis
• Labored breathing
• Blue lips
• Cold hands
• Lowered BP
• Distended neck veins  
• Diminished S1 and S2 
• Holosytolic murmur
• S3
• Tachycardia:
•  Irregular, irregular pulse
• Pulses alternans
• Palpable liver edge  
• Pitting edema  
• Basal crackles
• Dullness in bases of lung fields:

What is the overall specificity for physical examination in diagnosing congestive heart failure? Linda

What happens to CBC in congestive heart failure? Sara

What is pre-renal azotemia? Sara

What are the liver function abnormalities in congestive heart failure? Sara

What are the electrolyte abnormalities in congestive heart failure? Sara

What are the chest x-ray manifestations of congestive heart failure? Correlate the findings in the chest x-ray with the pathological findings. Franki

What is the value of EKG in the evaluation of a patient with congestive heart failure? Austine

What is the value of Echocardiography in the evaluation of a patient with congestive heart failure? Jennifer

What is the value of Radio nuclide Ventriculography in the evaluation of a patient with congestive heart failure? Jennifer

What is the value of Swna-Ganz catheter in the evaluation of a patient with congestive heart failure? Nathaniel

What are the compensatory attempts for congestive heart failure? Kevin

What are the common etiologies for congestive heart failure? Justin

What are the therapeutic strategies to decrease metabolic need. Oxygen demand supply ratio in a patient with congestive heart failure? Matthew

What are the therapeutic strategies to reduce venous return in a patient with congestive heart failure? How can we  decrease pre-load? Matthew

How can we increase cardiac output? Nathaniel

How can we reduce work load? How can we decrease after load? Nathaniel

How can you counter deleterious compensatory efforts? Kevin

What is the role for Morphine in congestive heart failure? Nathaniel

What is the role for cardiac transplantation in congestive heart failure? Nathaniel

What is the role for mechanical ventilation in congestive heart failure? Linda

What is the role for dialysis in congestive heart failure? Linda

What do you understand by the terms LV failure and RV failure? Austine

What do you understand by the terms low output failure and high output failure? Austine

What is meant by forward and backward failure? Jennifer

Define the terms acute, flash and chronic heart failure. Jennifer