Inflammatory Heart Disease Questions
and Correct Answers the Latest Update
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Rheumatic Fever
✓ systemic inflammatory disease. Abnormal immune response. Following pharyngeal
infection. Caused by Group A Beta-hemolytic streptococci.
Rheumatic Fever
✓ Self limiting. Heart is involved. Disease of youth 5-15 & up to age 40. Involves all layers
of the heart as a result of infection... swelling of the valves, scarred and deformed heart
valves & get resultant murmurs & vegitative growth
10%
✓ Only ___ develop rheumatic heart disease
Rheumatic Fever
✓ Affecting the mitral and aortic valves (major complication). Can occur months to years
after the episode
Mitral Valve
✓ With rheumatic fever, which valve is most affected?
Vegetative Growth
✓ when bacteria gets on the valve & causes a growth of bacteria on the valve
Rheumatic Fever
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✓ Manifestations: Arthritis, Carditis (friction rub, chest pain, arrythmias,murmur,
cardiomegaly), Fever, Subcutaneous nodules, Erythema Marginatum, Chorea, abdominal
pain due to liver engorgment, weakness, malaise, weight loss, and anorexia
Eyrthema Marginatum
✓ rash to trunk, crescent shaped with clear center
5-10 years
✓ How long are patients with rheumatic fever going to be on prophylactic antibiotics?
Rheumatic Fever
✓ Risk Factors: crowded living conditions, malnutrition, and poor access to healthcare
Rheumatic Heart Disease
✓ Slowly progressive valvular deformity that may follow acute or repeated attacks of
rheumatic fever. It results in stenosis or regurgitation of the valve. Usually affects the left
side of the heart
Stenosis
✓ narrowed fused valve obstructs forward blood flow
Regurgitation
✓ occurs when valve fails to close properly ( an incompetent valve), allowing blood to flow
back through it.
Infective Endocarditis
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