It's "ECG"lectric
Murmur Me Timbers
Who's That Pathophysiology?
Diagram Alley
Matthew Pate
100

What is Atrial Fibrillation?

100

Harry Potter was told he had this systolic murmur heard best at the 2nd intercostal space right sternal border.

What is aortic stenosis?

100

This is an accurate description of our patient's (Erica Johnson) heart condition.

Congenital Bicuspid Aortic Valve. 2 leaflets instead of 3. 

100

The name of this diagram.

What is a Wiggers diagram?

100

Often referred to as the "GOAT."

Who is Nick Saban?

200

This is a risk factor for atrial fibrillation seen in our patient, Erica Johnson. 

Congenital Heart Disease.

Others: Advanced Age, Hypertension, Genetic Factors, Neurological Disorders (stroke), Endocrine disorders.

200

Yes! Those are at least 3 types of systolic heart murmurs!

What are: aortic stenosis, pulmonic stenosis, mitral valve prolapse, HOCM, Atrial septal defect, PDA, Mitral regurgitation, tricuspid regurgitation, and a VSD?

200

This was discovered after a patient's blood pressure was 126/76 in their arms and 80/40 in their legs.

What is coarctation of the aorta?

200

That is indeed the correct order of electrical conduction system of the heart. 

What is the SA node to AV node to bundle of His to bundle branches to Purkinje fibers?

200

A common neurological issue Matthew saw in the neuro ICU.

What is a subarachnoid hemorrhage (SAH)?

300

This rhythm is described as having a characteristic sawtooth pattern.

What is atrial flutter?

300

Jedi Master Plo Koon was told he has this diastolic heart murmur best heard at the apex of the heart.

What is mitral regurgitation?

300

After being a disruptive and violent patient, Randy Marsh was given too much haloperidol which led to this dysrhythmia. 

What is torsades de pointes (polymorphic ventricular tachycardia)?

300

Why good job! You successfully drew a normal ECG and labeled the waves and segments appropriately. Way to go champ!

See powerpoint.

300

What is the air speed velocity of an unladden swallow?

What do you mean, African or European swallow?

(11 m/s).

400

These are medications that prolong the QT interval (name 3 different classes).

Antipsychotics: Haloperidol, ziprasidone.

Antiarrhythmics: Amiodarone, lidocaine.

Antibiotics: macrolides, fluoroquinolones.

Antidepressants: Amitriptyline, citalopram.

400

Jack Sparrow was told he has this heart sound, best heard at the apex of his heart, as a result of his ventricles overfilling.

What is an S3 heart sound?

400

This turned out to be one of many causes after a patient was diagnosed with a right MCA ischemic stroke.

What is atrial fibrillation?

400

Great work! You drew a picture of the chest with all of the correct places to hear each specific heart sound!

2nd IS RSB- aortic; 2nd IS LSB- pulmonic; 4th IS LSB- tricuspid; 5th IS mid-clavicular line- mitral.

400

Finish the quote: It's__________.

It's over Anakin! I have the high ground!

500

This rhythm and the first thing I should do if I see it clinically.

What is ventricular fibrillation and start CPR?

500

Jackie Moon was told he has this systolic murmur that if it hadn't been caught, he may have suddenly died.

What is a HOCM murmur?

500

This was discovered after bubbles were injected into an IV during an echocardiogram.

What is an atrial septal defect?

500

Congratulations! You drew a diagram of the arteries passed by during a balloon valvuloplasty!

Femoral artery to external iliac to common iliac to abdominal aorta to thoracic aorta to aortic arch to ascending aorta to the aortic valve.

500

Matthew Pate's Birthday.

July 21, 1994

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