Valve disease (acquired)

Question 1

how does NBTE develop

Answer 1

subtle endothelial abnormalities in hypercoagulable individuals

Question 2

what types of organisms cause AIE vs SIE

Answer 2

Acute is high-virulence like staph aureus, affects previously normal valves
Subacute is low virulence like strep viridans, affects abnormal valves

Question 3

Jones criteria

Answer 3

Joints, Carditis, Nodules (Aschoff’s), Erythema Marginatum, Sundenham’s Chorea

Question 4

How many jones criteria do you need

Answer 4

two major or one major and two minor

Question 5

Ashcoff bodies

Answer 5

fibrinoid necrosis, site of inflammation, Anitschkow cells

Question 6

what type of carditis do you get in acute rheumatic fever

Answer 6

pancarditis (myo,peri, and endo)

Question 7

what type of aortic valve modifications do you seen in chronic rheumatic heart disease

Answer 7

free edge thickening, commissure fusing, clean sinuses

Question 8

causes of mitral stenosis

Answer 8

rheumatic heart disease

Question 9

what does a mid-systolic click suggest

Answer 9

mitral valve prolapse

Question 10

causes of aortic stenosis

Answer 10

theumatic heart disease, senile clacific disease, calcification of bicuspid Ao valve

Question 11

what does a senile aortic stenosed valve look lik

Answer 11

heaps of calcifications, no commissure fusion

Question 12

how do you identify syphilitic Ao stenosis

Answer 12

widening of commissures, atherosclerosis of ascending Ao

Question 13

Is there inflammation in infective endocarditis

Answer 13

not in acute because it evolves so quickly