MEDRADSC 3J03 Lecture Notes - Lecture 14: Pericardium, Sepsis, Angina Pectoris
Document Summary
Iv injections: papilla(cid:396)(cid:455) (cid:373)us(cid:272)le (cid:396)uptu(cid:396)e (cid:272)ho(cid:396)dae te(cid:374)di(cid:374)ae affected valves move in ways they should(cid:374)"t, leaflets (cid:272)a(cid:374) flo(cid:449) (cid:271)a(cid:272)k i(cid:374)to the at(cid:396)ia (cid:894)(cid:448)al(cid:448)e (cid:272)o(cid:373)p(cid:396)o(cid:373)ised(cid:895) Most affected: mitral valve, aortic valve greater pressure on left side of the heart. Mitral stenosis: almost always caused by rheumatic disease, valves become thickened and fuse along the leaflet margins, venous congestion because of backup. If you leave it too long, the patient will develop generalized edema/ anasarca. Insufficiency: surgical valve replacement or correction of the stenosis (cutting the valve) Pulmonary edema: dizziness and angina on exertion. Imaging utilized: cxr (cid:374)ot (cid:272)o(cid:374)(cid:272)lusi(cid:448)e , echocardiography sho(cid:449)s (cid:448)al(cid:448)ula(cid:396) (cid:448)egetatio(cid:374)s, increased wbc count, treatments, antibiotics. If i has been going on for a while, we may need valvular replacements. Idiopathic: h(cid:455)d(cid:396)ope(cid:396)i(cid:272)a(cid:396)diu(cid:373) chf, fluid around the lung, neoplasti(cid:272) (cid:894)(cid:271)(cid:396)east, hodgki(cid:374)"s - poor lymph drainage, some kind of malignancy. Infectious: trauma, complication, constrictive pericarditis cardiac.