IDIS CR1 High yield

broad cause of infectious agent for pericarditis

viruses

heart sound heard with pericarditis

friction rub

braod causitive agent for myocarditis

viruses

broad causitive agent for endocarditis

bacteria

heart sound heard with endocarditis

murmur

broad causitive agent for rheumatic heart disease

caused by Strep Pyogenes

heart sound heard with rheumatic heart disease

murmur

pus-filled fluid drained + what is causing the pus?

purulent pericarditis + neutrophils

clear fluid drianed + what is causing clearness in fluid?

viral pericarditis + monocytes

what is a key buzzword associuated with pericarditis chest pain?

it is positional. Worse when lying flat. Improves upon sitting up on leaning forward

Complication of TB Pericarditis

constrictive pericarditis. due to granulomas and scar tissue from the TB

Pulsus Paradoxus

drop in blood pressure upon inspiration

largest causer of Viral Myocaditis

Cocksackie B

EKG signs for Pericarditis

• saddle ST Depressions

• Tall T-waves

• P-R Depressions

• Altenrating amplitude of QRS voltage (electrical alternans)

Non-viral cause for myocarditis

chronic Chagas Disease

With no pathognomonic sx, what is a good indicator a person might have myocarditis

respiratory or GI symptoms that precede onset of chest pain

EKG signs of Myocarditis

ST chanegs, patholgical Q waves, T-Wave inversions

• ST Elevation seen

Signs of Acute Chagas Disease

• unilateral eye swelling

• protozoa circulating in blood stream (Giemsa Stain)

• Myocarditis

usual valves affected by Infective endocarditis

aortic

mitral

in what pt populatiosn would a tricuspid valve carry infective endocarditis??

IV drug users

Acute endocarditis vs subacute

acute is within a few days (rapid onset) and have HIGH fevers

subacute has a slow onset of weeks to months. shows a lower fever and has more nonspecfic symtpoms

peteichal hemorraghes in conjucntiva, spinter hemorraghes in nails and janeway leisons on palms/soles are indicative what what disease

infective endocarditis

retinal hemmorrgahes (roth spots) and Oslers Nodes on pads of fingers are indicative of what disease?

infective endocarditis

Clubbing of fingers and toe nails are indicative of what disease?

infective endocarditis

migrating polyarthtiris and arthralgia is indicative of what disease?

acute rheumatic fever

erthyema marginartum is what? It is indicative of what disease?

sandpaper-like rash with red borders/margins.

it’s indicative of Acute Rheumatic Fever

Subcutaneous Nodules on bony prominences or tendons are indicative of what disease?

acute rheumatic fever