CM Flashcards
1
Q
Rheumatic fever, HD- Eti
A
- Uncommon in US, rate before 4, after 40.
- Age 5-15
2
Q
Rheumatic fever, HD- Sx
A
- Fever: 2-3 weeks post infection
- Carditis
- Carey-coombs mid-diastolic murmur
- Erythema marginatum- ringed macule
- subcutaneous nodules
- polyarthritis
- Sydenham chorea- involuntary mvmnt of face, tongue, arms
3
Q
Rheumatic fever, HD- Dx
A
- Jones criteria + strep infection
- ESR indicates inflammation
- Increasing titers of antistrep Abs
4
Q
Rheumatic fever, HD- Tx
A
- Rest until pulse, ESG, ECG normalize
- Salcylates (aspirin), penicillin, prednisone
5
Q
Jones Criteria:
A
1 required + 2 major + 0 minor OR 1 required +1 major + 2 minor
6
Q
Jones criteria- Required
A
Evidence of antecedent Strep. infection- Abs, culture, scarlet fever
7
Q
Jones criteria- Major
A
- Carditis
- Polyarthritis
- Chorea
- Erythema marginatum
- Subq nodules
8
Q
Jones criteria- Minor
A
- Fever
- Arthralgia
- Prev rheumatic
- Acute phase reactants- ESR, CRP, leukocytosis
- Prolonged PR interval
9
Q
Rheumatic Heart Disease
A
- Rigidity and deformity of valve cusps
- Valvular stenosis and/or regurg
- Mitral, aortic, tricuspid- rarely pulm.
10
Q
NY HF classification-
A
Classify extent of heart failure based on physical activity, angina & SOB
11
Q
NY HF- Stage 1
A
Cardiac disease, no symptoms, limitations
12
Q
NY HF- Stage 2
A
Mild SOB, angina, slight limit with activity
13
Q
NY HF- Stage 3
A
Marked angina due to symptoms, comfortable only at rest
14
Q
NY HF- Stage 4
A
Severe limitations. Symptoms at rest, bed bound
15
Q
Left heart failure
A
- Due to systolic or diastolic dysfunction
- Low cardiac output, congestion,
- Dyspnea: Elevated pulm venous pressure
