Cv-Rheumatic Heart Disease And Pericarditis

Front 1

Rheumatic heart disease occurs following infection by what organism?

Back 1

group A strep

Front 2

Pathogenesis in RHD comes from what process?

Back 2

ab-ag deposition and complement activation

Front 3

What are the 5 major Jones' criteria?

Back 3

1. erythema marginatum
2. sydenham chorea
3. carditis
4. SQ nodules
5. migratory large joint polyarthritis

Front 4

What are the minor Jones' criteria?

Back 4

1. fever
2. arthralgia
3. + acute phase reactants
4. prolonged PR interval

Front 5

What is considered positive finding for Jones' criteria?

Back 5

1. 2 major findings or
2. 1 major and 2 minor findings

Front 6

Chronic RHD occurs when?

Back 6

1. 1st attack is in early childhood
2. 1st bout of rheumatic fever is severe
3. recurrent attacks

Front 7

What valve is usually affected in RHD? What does this cause?

Back 7

1. mitral
2. mitral valve stenosis

Front 8

Aschoff nodules should be associated with what?

Back 8

RHD

Front 9

Long, thin cell with an elongated nucleus also associated with acute rheumatic carditis is called what?

Back 9

anitschkow myocyte

Front 10

Chronic rheumatic scarring of the mitral valve results in what characteristic appearance?

Back 10

"fish mouth"

Front 11

What are the 5 types of acute pericarditis?

Back 11

1. serous
2. fibrinous/serofibrinous
3. purulent
4. hemorrhagic
5. caseous

Front 12

Which kind of acute pericarditis is the most common?

Back 12

fibrinous/serofibrinous

Front 13

Which kind of acute pericarditis is seen in MI and usually involves a friction rub?

Back 13

fibrinous/serofibrinous

Front 14

Which type of acute pericarditis will lead to constrictive pericarditis?

Back 14

purulent

Front 15

What causes the friction rub seen in fibrinous pericarditis?

Back 15

fibrin extensions of epicardium rub against the pericardium

Front 16

What are possible causes of hemorrhagic pericarditis?

Back 16

1. post-surgery
2. TB
3. malignancy

Front 17

What are possible causes of caseous pericarditis?

Back 17

1. TB
2. direct extension from lymph nodes

Front 18

What will happen to pericardium in TB?

Back 18

becomes calcified->constrictive pericarditis

Front 19

Healing of an acute pericarditis can leave what?

Back 19

soldier's plaque

Front 20

What is the most common cause of chronic pericarditis worldwide? What is the most common cause of constrictive pericarditis?

Back 20

TB

Front 21

20-40% of this disease involve the heart, leading to pericarditis.

Back 21

RA