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13 Cards in this Set

  • Front
  • Back
pediatric disease following Strep infection

involved heart, joints, CNS
Strep. pyogenes

group A B-hemolytic

(pharyngitis [strep throat])
Abnormal host immune response for rheumatic infection

is associated with which molecule?
HLA class II
Early Acute phase of rheumatic fever
nonspecific myocarditis

fibirnoid degeneration of collagen
A ring of fibrous tissue from which leaflets arise. helps electrically insulate atria from ventricles
anulus
Atrioventricular valves (mitral/tricusp) have 5 components
Anulus

Leaflets

Commissures

Chordae tendinae

Papillary muscles
Semilunar valves (pulm/aortic) have 3 components
Anulus

Cusps

Commissures
What comprises the valvular apparatus in Atrioventircular valves?
Annulus

Leaflets

Commissures
What comprises tensor apparatus in the atrioventricular valves?
chordae tendineae

papillary muscles
perivascular swollen collagen with lymphs, macs and plasma cells

--> granulomatous with Giant Cells (macrophages) w/ Fibrinoid center and surrounding inflammation
Aschoff Body


Rheumatic Fever
pathgnomic feature of rheumatic fever
aschoff body
pt. present w/ all 4 leaflets inflamed. leads to loss of endothelium and deposits of fibrin nodules that look like verrucae (warts).
endocarditis --> Rheumatic Fever
Diagnose criteria for Rheumatic Fever
JONES criteria
serum levels show

Antistreptolysin O
anti-hyuluroniase
anti-DNase B
S. pyogenes