6 - Priya Narayan - Mitral Stenosis/CCF (detention centre - issues getting healthcare)

Question 1

what is rheumatic fever? relation to heart?

Answer 1

an inflammatory disease that occurs following a Streptococcus pyogenes infection. The M protein of these Strep. Pyogenes uses molecular mimicry, causing the immune system to generate an autoimmune response. The immune response causes fibrosis of the mitral valve.

Question 2

what symtoms would be expected in CCF?

Answer 2

SOB, orthopnea, peripheral oedema

Question 3

give a flow chart to peripheral oedema

Answer 3

Periph O< inc RA pressure < Inc RV pressure < Inc Pulmonary Aartery pressure < vasoconstrinction

Question 4

flow chart of othropnea

Answer 4

ortropnea < lying flat < increase venous return < increase blood volume < increase pulmonary venous pressure

Question 5

what is orthopnea

Answer 5

is shortness of breath (dyspnea) which occurs when lying fla

Question 6

what does Right heart failure often cause

Answer 6

hepatomegoly, peripheral oedema and increase JVP

Question 7

five years fatigue and SOB if walks quickly or up hills. Progressive. 2 months Orthopnea.

Answer 7

Mitral Valve stenosis/CCF