Mod 5: vavlular

Question 1

Mitral valve stenosis

Answer 1

rheumatic fever =pulm htn, rv failure
^afib risk
sob, atrial enlargement, jvd, hemoptysis
mumur at apex->L axilla

Question 2

Mitral valve regurgitation

Answer 2

d/t mitral valve proplapse, sticking pain

pansystolic murmur s3,4

Question 3

aortic valve stenosis

Answer 3

inflammatory damage form rheumatic heart disease, congential bicuspid valve
s/s develop when <1cm
xOutflow= pulm htn/edema
snycope/cp
cresscendo decrescendo @2nd ics, narrow pulse pressure

Question 4

aortic valve regurgitation

Answer 4

d/r aortic root dilation=backflow into LV=^LVEDP, vSBP
chronic-normalized but hypertrophied lv
early diastolic murmur

Question 5

Endocarditis

Answer 5

staphylococcus aureus, ^incidence d/t prosthetic valves, turbulent blood flow, iv drug use
(damage= inflammation, clotting cascade=vegetation on valves esp may form embolus)
petechiae, splinter hemorrhage, janeway lesions palms/soles, olsar nodules (fingers/toes)