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15 Cards in this Set
- Front
- Back
what is the number one cause of death in the US?
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heart disease
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what accounts for 80% of cardiac deaths?
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ischemic heart disease
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at what age does degenerative calcific aortic valve stenosis occur?
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70s and 80s
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a 75 year old patient comes in complaining of angina, syncope, and has some signs of CHF. You suspect that the morphology underlying this problem includes thickening and immobility of valve cusps with narrowing of the orifice....
what does this patient have? |
Degenerative Calcific Aortic Valve Stenosis
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patient presents with regurgitation, arrhythmias 2° to impinging on the conduction pathways, and grossly has valve stenosis secondary to bulky deposits on the leaflets...
what is this? |
Mitral Annular Calcification
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usually asymptomatic and found only as a midsystolic click on auscultation. But, may also be associated with atypical chest pain, dyspnea, fatigue or psychiatric symptoms
patient may be in their 20s to 40s what could this be? |
Mitral Valve Prolapse
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if you see grossly ballooning of valve leaflets, and elongated/thickened chordae tendinea in the mitral valve, what would this be?
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Mitral Valve Prolapse
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what is the pathogenesis of infective endocarditis?
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blood-borne bacteria 2° to infection elsewhere in the body;
IV drug abuse; dental or surgical procedures; micro-injuries to gut, urinary tract, oropharynx or skin |
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how do you diagnose endocarditis?
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Dx confirmed by blood culture - - positive 80 – 95%
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pt has Direct injury to valves or myocardium & aorta
Emboli to spleen, kidneys, heart & brain Antigen-antibody complex-mediated glomerulonephritis --> nephrotic syndrome &/or renal failure what could this be? |
endocarditis
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you have a cancer patient who has renal failure which is secondary to DIC. A major concern is embolism. What might this be? (be specific)
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Non Bacterial Thrombotic endocarditis
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what is Libman-Sacks Endocarditis?
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valvular (mitral & tricuspid) disease seen in SLE & antiphospholipid syndrome
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what are the 2 types of artificial valves?
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Mechanical (rigid & synthetic)
Bioprosthetic (glutaraldehyde-pretreated animal valves) |
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what are 2 of the major complications of artificial valves?
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paravalvular leak
Thrombosis/thromboembolism |
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IV drug abusers are more likely to develop what?
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Infective Endocarditis
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