1B, pathology of the heart Flashcards

1
Q

define acute paricarditis

A
acute inflamation (<2 weeks) of the paricardium 
often infection in nature, but can be due to an autoimmune disease, trauma, or drug toxicity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are some manifestations of acute pericarditis

A

Chest pain, friction rub, and EKG changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is pericardial effusion

A

accumulation of excess fluid(exudate) of the pericardial sac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what determins the effect effusion has on cardiac function

A

amount of fluid, the rapidity with which it accumulates, elasticity of the pericardium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is serous paricarditis associated with

A

SLE, rheumatic fever, and variety of viral infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

fibrinous pericarditis is associated with what

A

fibrin rich exudate, may be caused by uremia, myocardial infarction, or acute rheumatic fever.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

purulent pericarditis

A

cloudy exudate, amolst always caused by bacterial infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

hemorrhagic pericarditis

A

bloody exudate, tumors, may also be cause by TB and bacterial infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

cardiac tamponade

A

increase in percardial sac pressure casued by accumulation of fluid or blood in the pericardial sac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how is cardiac tamponade treated

A

pericardiocentesis (subxiphoid of parasternal approach)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

define myocardial disease

A

disorders priginating from within the myocardium, but not from cardiovascular disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are two major forms of myocardial disease

A

myocarditis and primary cardiomyopathies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define Myocarditis

A

inflamation of the heart myscle, without evidence of myocardial infarction, the myocardium becomes thick and swollen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

causes or myocarditis

A
#1 - drug toxicity
autoimmune disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the three forms of primary cardiopathies

A
  1. dilated cardiomyopathy
  2. hypertrophic cardiomyopathies
  3. restrictive cardiomyopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dilated cariomyopathy

A
  • most common, progressive cardiac hypertrophy, dilation, and impared pumping.
  • mural thrombi
  • causes:idiopathic, infectious, and alcohol
17
Q

hypertrophic cardiomyopathy

A

ventricular hypertrophy and impaired diastolic ventricular filling.
may result in left ventricular outflow obstruction

18
Q

restrictive cardiomyopathy

A
  • least common
  • stiffness of ventricular walls
  • idiopathic
19
Q

most common cause of endocarditis

A

Staph aureus (50% of the time)

20
Q

infective endocarditis

A

large, sofy, friable, easily detached vegetations consisting of fibrin and intermeshed inflammatory cells and bacteria

21
Q

what valve is most frequently involves in infective endocarditis

A

mitral valve