Lesson 8

Question 1

endocarditis

Answer 1

inflammation of the endocardium

affects valves
chordae tendon

Question 2

strep throat

Answer 2

goes all around even in heart and affects connective tissue

if left untreated can cause rheumatic fever

5-15 years

Question 3

rheumatic infections

Answer 3

abnormal response to the bacterial infection

after healing valve function can be decreased (narrowing/problems opening/closing)

Question 4

endocarditis most common valve

Answer 4

mitral

causes stenosis in valve

chordae tendinae is also affected (brown spots) affect valves

Question 5

subacute

Answer 5

organisms of low virulence

Question 6

acute

Answer 6

highly virulent organisms

Question 7

clinical findings of endocarditis

Answer 7

murmur S1/S2

low grade fever (most common)

tachycardia

fatigue (since heart isn’t working properly)

crackles (PE)

Question 8

endocarditis complications

Answer 8

heart failure

stroke

Question 9

myocarditis

Answer 9

inflammation of the myocardium not caused by ischemia

systemic disorder

develops after rheumatic fever

interferes with pathway conduction

Question 10

myocarditis clinical findings

Answer 10

dyspnea on exertion

myalgia, headache, fever tachy

chest pain

severe = heart failure/cardiogenic shock

Question 11

myocarditis focused history

Answer 11

will have shortness of breath 7-10 days

can result in orthopnea

Question 12

myocarditis complications

Answer 12

benign

Question 13

myocarditis

Answer 13

comfort care

might result in ACS, CHF and sepsis

Question 14

myocarditis/endocarditis similarities

Answer 14

both could have CHF

Question 15

pericarditis is quite…

Answer 15

thin

Question 16

pericarditis

Answer 16

inflammation of the outer layer

often associated with myocarditis

actue/chronic

Question 17

pericarditis causes

Answer 17

rheumatic fever
surgery
MI
cancer
trauma
infection
renal failure

Question 18

acute pericarditis

Answer 18

can fill up pericardial sac quickly

Question 19

what causes pericarditis pain

Answer 19

rubbing pain

sharp pain

Question 20

pericarditis findings

Answer 20

tach x2
hypotension
chest pain
SOB/cough
friction rub on auscultation 
JVD
faint heart sounds due to swelling

Question 21

chronic pericarditis findings

Answer 21

fatigue

weak

Question 22

tamponade

tension pneumo

Answer 22

clear lung sounds

unclear lung sounds

Question 23

pericarditis complication

Answer 23

heart failure

Question 24

pericarditis prehospital care

Answer 24

comfort care

manage hypotension

Question 25

angina pain

Answer 25

predictable