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MS 3 > Rheumatic Fever and CAD > Flashcards

Rheumatic Fever and CAD Flashcards

1
Q

What is the causative agent of Rheumatic Fever?

A

Group A Beta Hemolytic Streptococcus

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2
Q

What is the DOC for Rheumatic Fever?

A

Corticosteroids

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3
Q

What is the first step in diagnosing a patient with Rheumatic Fever?

A

Ask for a history of tonsillitis (GABHS infection)

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4
Q

What is the second step in diagnosing a patient with RF?

A

JONES Criteria

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5
Q

What is the major JONES Criteria?

A

Joints pain (polyarthritis)
Carditis
Nodules
Erythema marginatum
St. Vitus Dance (chorea)

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6
Q

What is the minor JONES Criteria?

A

Joint pain
Positive ASO titer
Elevated ESR (indicates inflammation)
Prolonged PR interval (indicates Heart Block or Carditis)
Fever
Elevated WBC

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7
Q

What is the criteria for diagnosing RF using JONES?

A

2 major or 1 major and 2 minor

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8
Q

What is the DOC for GABHS infection?

A

Penicillin

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9
Q

What does STATINS stand for?

A

Sip water
Take at bedtime
Aching of muscles
Annual eye check
Teratogenic
Increased HDL, lowers LDL
Normal liver test
See kidney function

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10
Q

What is the DOC for Polyarthritis?

A

Ibuprofen

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11
Q

What is the DOC for Carditis?

A

Steroids

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12
Q

What is the DOC for St. Vitus Dance?

A

Phenobarbital / Diazepam

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13
Q

PATHOPHYSIO OF CAD

  1. Blocked arteries due to Fat build up
  2. Improper blood flow
  3. Anaerobic metabolism
    4.
A

Lactic acid (pain)

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14
Q

PATHOPHYSIO OF CAD

  1. Blocked arteries due to Fat build up
  2. Improper blood flow
  4. Lactic acid (pain)
A

Anaerobic metabolism

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15
Q

PATHOPHYSIO OF CAD

  1. Blocked arteries due to Fat build up
    2.
  2. Anaerobic metabolism
  3. Lactic acid (pain)
A

Improper blood flow

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16
Q

PATHOPHYSIO OF CAD

  2. Improper blood flow
  3. Anaerobic metabolism
  4. Lactic acid (pain)
A

Blocked arteries due to fat build up

17
Q

PATHOPHYSIO OF ACUTE RESPIRATORY FAILURE CAUSED BY -STATINS

  1. STATINS dissolve fats
  2. Muscle proteins are used for energy
  3. Destruction of muscle fibers
  4. Release of myoglobin
  5. Damage to kidneys (myoglobin is nephrotoxic)
    6.
A

Acute respiratory failure from fluid build up

18
Q

PATHOPHYSIO OF ACUTE RESPIRATORY FAILURE CAUSED BY -STATINS

  1. STATINS dissolve fats
  2. Muscle proteins are used for energy
  4. Release of myoglobin
  5. Damage to kidneys (myoglobin is nephrotoxic)
  6. Acute Respiratory Failure from fluid build up
A

Destruction of muscle fibers

19
Q

PATHOPHYSIO OF ACUTE RESPIRATORY FAILURE CAUSED BY -STATINS

  1. STATINS dissolve fats
  2. Muscle proteins are used for energy
  3. Destruction of muscle fibers
  5. Damage to kidneys (myoglobin is nephrotoxic)
  6. Acute Respiratory Failure from fluid build up
A

Release of myoglobin

20
Q

PATHOPHYSIO OF ACUTE RESPIRATORY FAILURE CAUSED BY -STATINS

  1. STATINS dissolve fats
  2. Muscle proteins are used for energy
  3. Destruction of muscle fibers
  4. Release of myoglobin
  6. Acute Respiratory Failure from fluid build up
A

Damage to kidneys

21
Q

PATHOPHYSIO OF ACUTE RESPIRATORY FAILURE CAUSED BY -STATINS

  1. STATINS dissolve fats
  3. Destruction of muscle fibers
  4. Release of myoglobin
  5. Damage to kidneys (myoglobin is nephrotoxic)
  6. Acute Respiratory Failure from fluid build up
A

Muscle proteins are used for energy

22
Q

PATHOPHYSIO OF ACUTE RESPIRATORY FAILURE CAUSED BY -STATINS

  2. Muscle proteins are used for energy
  3. Destruction of muscle fibers
  4. Release of myoglobin
  5. Damage to kidneys (myoglobin is nephrotoxic)
  6. Acute Respiratory Failure from fluid build up
A

STATINS dissolve fats

23
Q

What is the management of CAD?

A

Weight management and anti hyper-lipidemics (STATINS)

MS 3 (11 decks)

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