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11 Cards in this Set
- Front
- Back
Which inflammatory molecules mediate sepsis?
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Tumor Necrosis Factor --> Interleukin 1 (p19)
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What is the effect of septic shock on the vascular system?
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Vasodilation
1. Decreased blood pressure 2. Organ hypoperfusion (p. 20) |
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What is the effect of septic shock on the heart?
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Myocardial depression
1. Decreased cardiac output 2. Decreased blood pressure 3. Organ hypoperfusion |
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What is the effect of septic shock on the kidney?
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Acute renal failure
1. Decreased urine output 2. Volume overload 3. Accumulation of toxins |
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What is the effect of septic shock on the lungs?
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Adult respiratory distress syndrome
1. Hypoxia |
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What is the effect of septic shock on the liver?
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Hepatic failure
1. Accumulation of metabolic toxin 2. Hepatic encephalopathy |
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What is the effect of septic shock on the brain?
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Encephalopathy
1. Alteration in mental status |
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What is the effect of septic shock on the coagulation system?
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Disseminated intravascular coagulation
1. Clotting 2. Bleeding |
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What enzyme distinguishes Streptococcus from Staphylococcus?
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Strep: gram (+) strips, catalase negative
Staph: gram (+) clusters, catalase positive |
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What are the patterns and colors of hemolysis of Streptococcus?
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Alpha - partial hemolysis, green
Beta - complete hemolysis, clear Gamma - non-hemolytic |
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What are 6 major manifestations of rheumatic fever?
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1. Fever
2. Myocarditis, followed by valvular heart dz (10-20 years later) (mitral valve > aortic valve) 3. Arthritis (joint swelling) 4. Chorea - 2-3 wks after pharyngitis, aka Sydenham's chorea, or St. Vitus dance 5. Subcutaneous nodules 6. Rash (erythema marginatum) - red margin that spreads from its center |