Prof Meeran Session

Question 1

What valves are damaged by rheumatic fever?

Answer 1

you get MS and AR from fibrosis

because:
as the fibrosis proceeds, it causes the valve to be critically narrowed

reason is something to do with pressures

Question 2

explain the pathophysiology of rheumatic fever

Answer 2

1. staph infection, antibodies formed; antibodies also have the ability to attack the host.
2. 20 years after infection, antibodies attack host tissues

Question 3

Why does rheumatic fever present 20 years after the strep infection?

Question 4

What are the feature of Mitral stenosis?

Answer 4

• AF
• malar flush
• middle aged female
• apex not displaced
• tapping apex (loud first hs)
• right ventricular heave
• blowing mid-diastolic murmur with pre-systolic accentuation (opening snap) - not AF

Question 5

Causes of AR

Answer 5

• syphilis
• Marfan’s
• old rheumatic fever
• IE
• ank spond
• Reiters

?more

Question 6

which MIs can cause AV blocks?

Answer 6

RCA

because RCA supplies AV nodes

Question 7

why invert ECG?

Answer 7

can look at the back of the heart

Question 8

respiratory causes of clubbing

Answer 8

• ## CF