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Flashcards in Quiz 2 Deck (22):
1

• It is autoimmune disease after pharyngitis
• Children,
• Streptococcus with M-protein
• Aschoff bodies
• as multinucleated giant cells

Rheumatic heart disease

2

what valve does Acute rheumatic endocarditis affect?

mitral valve

3

1. Carditis
2. Migratory polyarthritis, no
3. Subcutaneous nodules
4. Erythema marginatum
5. Rheumatic chorea (Sydenham’s chorea)

Major Jones Criteria

4

•History, Symptoms, Labs.
•REMEMBER: in acute Rheumatic disease leads to mitral
regurgitation but chronic leads to stenosis

Minor Jones Criteria

5

•Virus (Coxsacki B) is the Most Common Cause
•Pathology: interstitial edema with lymphocytes
•Complication: congestive cardiomyopathy

Myocarditis

6

• It is a myocardial dysfunction, Most Common Cause is
unknown

Cardiomyopathy

7

Mainly systolic dysfunction
•Causes: idiopathic, alcoholism, myocarditis or drugs (adriamycin)

Congestive (dilated) cardiomyopathy

8

•very young age
•congenital (AD)
•diastolic disorder
•asymptomatic
•causes sudden death in athletic person

Hpertrophic cardiomyopathy

9

mainly diastolic dysfunction, due to hemochromatosis
(⇑ iron), amyloidosis(⇑ pre-albumin)

Restrictive cardiomyopathy

10

Friable, embolic vegetation

Bacterial Endocarditis

11

acute bacterial endocarditis (ABE):

Staph. Aureus

12

subacute Bacterial Endocarditis (SBE):

strept. Viridans

13

Associated with SLE, mainly affects mitral & tricuspid
valves

Libman Sacks endocarditis (non bacterial endocarditis)

14

non-bacterial thrombotic (NBTE), associated with tumors
& DIC due to much mucin secretion which affects the blood coagulation.
- easy to detach

Marantic endocarditis

15

28. Rheumatic fever produces all of the following features EXCEPT:
A. Myocarditis
B. Pericarditis
C. Endocarditis
D. Mural thrombus

D. Mural thrombus

16

29. All of the following are the major Jones-Criteria of rheumatic fever EXCEPT:
A. Carditis
B. Arthralgia
C. Arthritis
D. Chorea
E. Erythema marginatum

B. Arthralgia

17

30. What is the most common cause of myocarditis in the U.S.?
A. Coxsackie B virus
B. Hepatitis B virus
C. Toxoplasmosis
D. Cytomegalovirus E. Mycoplasma

A. Coxsackie B virus

18

31. Alcoholism may be causing ONE of the following heart diseases?
A. Congestive cardiomyopathy
B. Restrictive cardiomyopathy
C. Hypertrophic cardiomyopathy
D. Obliterative cardiomyopathy

A. Congestive cardiomyopathy

19

32. What is the most common cause of death in acute rheumatic fever?
A. Pericarditis
B. Endocarditis
C. Myocarditis
D. Mitral stenosis
E. Mitral incompetence

C. Myocarditis

20

What is the most common cause of chronic mitral valve stenosis?

Chronic rheumatic fever

21

What do you hear when there is fibrinous pericarditis present?

Friction rub

22

Acute bacterial endocarditis stays locally in the heart and primarily affects what valve?

Tricuspid