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Lecture 10

Valvular Heart Disease

What is a common cause of Mitral stenosis Rheumatic Heart Disease
What is a common cause of mitral regurgitation Mitral Valve Prolapse
What is a common cause of aortic stenosis Congenital bicuspid aortic valve/acquired valvular cacification
what is a comon cause of aortic regurgitation congenital bicuspid aortic valve/aortic dilation
what are the clinical components of rheumatic fever Fever, Migratory polyarthritis of the large joints, subcutaneous nodules, erythema marginatum, Sydenham's chorea, and carditis
What pathological finding is pathognomonic for carditis aschoff bodies
what is the most common valve affected by rheumatic fever mitral valve
what are the secondary cardiac effects of rheumatic fever congestive heart failure and risk for endocarditis
what is the classic murmur of mitral valve prolapse mid-systolic click (snapping of cusp and chordae)
What is congenital stenosis when the valvular opening is too small, structurally the valves may be normal, tri, bi, or unicuspid
what is pathognomonic for endocardial infection infective vegetations
when you see huge vegetations, valve perforation, myocardial extension with ring abscess formation is the endocarditis most likely acute or subacute acute
what bacteria is responsible for 50-60% of cases of endocarditis strep viridans
What group do you have to worry most about right sided endocarditis IV drug abusers
What is Libman-Sacks Endocarditis associated with? SLE (valves affected in up to 50% of lupus patients)
what is carcinoid heart disease plaque like pearly white fibrous thickening of the RV endocardium
what are symptoms of carcinoid syndrome N/V, diarrhea, Flushing
what valves are most affected by Carcinoid tricuspid and pulmonary (stenosis not regurge)
what valve is not typically affected by rheumatic fever pulmonary
does rheumatic fever have the potential to cause stenosis or regurge of the mitral, aortic and Tricuspid valves both in all
What valves does SLE usually affect Mitral (stenosis and regurge) and Aortic (regurge only)
Is endocarditis more likely to cause regurge or stenosis of the aortic and mitral valves regurge
Created by: UVAPATH3



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