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15 Cards in this Set
- Front
- Back
Stable Angina
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pain that is precipitated by excertion
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Unstable Angina
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prolonged, recurrent pain at rest
indicative of immenient MI |
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Prinzmetal Angina
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intermettent pain at rest
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MI
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152, table 10-1, 10-2
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Rheumatic Fever
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multisystem inflammatory disorder, children 5-15
transient mild migratory polyarthritis 1-4 weeks after tonsillitis - group A B-heme Strep inc ASO Aschoff Body - area of focal interstitial myocardial inflamm that has frag collagen and fibrous material, large cells(Anitschkow cells), and multinucleated giant cells(Aschoff cells) |
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Rheumatic Fever - Clinical
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Pancarditis (Peri, Myo, Endo Cariditis)
Rheumatic Endocarditis - points of valve closure, post wall of LA; forms MacCallum plaque Valve leaflets red, swollen, nonfriable, rubbery vegatations Then, fibrotic healing and u get thickened, fibrotic, calcified valves - RHD Fever, malaise, inc ESR, Arthritis, Arthalgia, Migratory Polyarthritis, Subcutaneous nodules, Erythema Migrans, Chorea |
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RHD - Mitral Valve
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most frequently affected
stenosis - fishmouth, buttonhole deformity; higher diastolic pressure in LA than in LV also insuff possible |
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Infective Endocarditis
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large, soft, friable vegatations of fibrin and inflamm celss
can ulcerate or rupture one of cordae tendineae Acute - Staph Subacute - Strep viridans, pts with CHD, or prexisting valvular HD mitral most freq tricuspid - intraven drug users (Staph) Complications - Distal Embolization, Septic Infarcts, Focal glomerulonepritis |
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NonBacterial Thrombotic Endocarditis (Marantic)
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assoc with debilating disorders,
small sterile fibrin deposits peripheral embolization, but emboli are sterile |
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Libman Sacks Endocarditis
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SLE
small vegations on either or both sides of leaflets |
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Endocarditis in Carcinoid syn
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caused by secretory products of carcinoid tumors (serotonin)
thickened endocardial plaques - involving valve cusps of right heart or mural endocardium doesnt involve left side cause lung detoxifies serotonin |
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MVP
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myoxoid degeneration of ground substance of valve (Marfans comp)
streching of posterior valve leaflet making "floppy cusp"(Parachute deformitiy) systolic murmur with midsystolic click |
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M Stensis
M Insuff |
M Stenosis - cause of RHD
M Insuff - RHD usually, or MVP, or damage to pappilary muscle in MI |
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Aortic Stenosis
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Calcific aortic stenosis
age relative - degenerative calcific aortic stenosis : for older than 60, has to have 3 cusps congenital bicuspid AV RHD |
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Aortic Insuff
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Nondissecting Aortic Aneusysm
RHD Sypilitic aortitis - dilation of aortic valve ring |