Myocarditis

Question 1

Myocarditis Clinical

Answer 1

Inflammation of myocardium (muscle)

Question 2

Myocarditis RF

Answer 2

predom middle aged men, 60% with recent viral illness

Question 3

Myocarditis Phys Exam

Answer 3

Arrythemia and Tachycardia, dyspnea, stabbing chest pain, edema

Question 4

Picornaviridae Clin

Answer 4

Myocarditis

Question 5

Picornaviridae Char

Answer 5

Coxsackie B; ss pos sense RNA virus; non enveloped

Question 6

Picornaviridae VF

Answer 6

Binds CAR (Coxsackie/adenovirus Receptor) on host tissue

Question 7

Picornaviridae Res

Answer 7

Humans

Question 8

Picornaviridae Trans

Answer 8

Fecal oral; resp secretions

Question 9

Picornaviridae Diag

Answer 9

Serology

Question 10

Trypanosoma Cruzi Char

Answer 10

Flagellated Protozoan

Question 11

Trypanosoma Cruzi Res

Answer 11

Reduvid bugs (Central/South America and Southern USA)

Question 12

Trypanosoma Cruzi Trans

Answer 12

feces from reduvid bug at time of bite; contaminated food; blood transfusion; transplacental

Question 13

Trypanosoma Cruzi RF

Answer 13

Poor people

Question 14

Trypanosoma Cruzi Diag

Answer 14

Microscopic demo of trypanosus and/or amastigotes

Question 15

Trypanosoma Cruzi Clin

Answer 15

Chagas disease/ dilated cardiomyopathy (myocarditis with megacolon and megaesophagus)

Question 16

Trypanosoma Cruzi Stages

Answer 16

1. Primary lesion - Chagoma, swelling of bite (Romana’s sign if on face, eyelids, conjunctiva)
2. Acute stage - 7-14 days after infection with increased exhaustion, chills fever, dyspnea, joint pain, and acute myocarditis
3. Chronic stage - abnormal hollow organs (heart - disturbed conduction) and colon (decreased peristalsis)