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21 Cards in this Set
- Front
- Back
Rheumatic heart disease occurs following infection by what organism?
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group A strep
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Pathogenesis in RHD comes from what process?
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ab-ag deposition and complement activation
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What are the 5 major Jones' criteria?
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1. erythema marginatum
2. sydenham chorea 3. carditis 4. SQ nodules 5. migratory large joint polyarthritis |
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What are the minor Jones' criteria?
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1. fever
2. arthralgia 3. + acute phase reactants 4. prolonged PR interval |
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What is considered positive finding for Jones' criteria?
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1. 2 major findings or
2. 1 major and 2 minor findings |
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Chronic RHD occurs when?
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1. 1st attack is in early childhood
2. 1st bout of rheumatic fever is severe 3. recurrent attacks |
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What valve is usually affected in RHD? What does this cause?
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1. mitral
2. mitral valve stenosis |
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Aschoff nodules should be associated with what?
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RHD
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Long, thin cell with an elongated nucleus also associated with acute rheumatic carditis is called what?
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anitschkow myocyte
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Chronic rheumatic scarring of the mitral valve results in what characteristic appearance?
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"fish mouth"
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What are the 5 types of acute pericarditis?
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1. serous
2. fibrinous/serofibrinous 3. purulent 4. hemorrhagic 5. caseous |
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Which kind of acute pericarditis is the most common?
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fibrinous/serofibrinous
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Which kind of acute pericarditis is seen in MI and usually involves a friction rub?
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fibrinous/serofibrinous
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Which type of acute pericarditis will lead to constrictive pericarditis?
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purulent
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What causes the friction rub seen in fibrinous pericarditis?
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fibrin extensions of epicardium rub against the pericardium
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What are possible causes of hemorrhagic pericarditis?
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1. post-surgery
2. TB 3. malignancy |
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What are possible causes of caseous pericarditis?
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1. TB
2. direct extension from lymph nodes |
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What will happen to pericardium in TB?
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becomes calcified->constrictive pericarditis
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Healing of an acute pericarditis can leave what?
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soldier's plaque
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What is the most common cause of chronic pericarditis worldwide? What is the most common cause of constrictive pericarditis?
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TB
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20-40% of this disease involve the heart, leading to pericarditis.
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RA
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