|Table 124–2 Clinical and Laboratory Features of Infective Endocarditis |
| |
|Feature |
|Freq % |
| |
|Fever |
|80–90 |
| |
|Chills and sweats |
|40–75 |
| |
|Anorexia, weight loss, malaise |
|25–50
Dr. J.K. McClain and other members of the cardiology department consulted on the patient. They felt that his hypoxia and breathlessness were not secondary to his cardiac status. He had supraventricular cardiac arrhythmias, including atrial fibrillation and atrial flutter. The cardiology staff utilized intravenous medications that controlled the cardiac rate, adequately resolving these cardiac issues. I managed the patient’s ventilator and the intensive care status along with my respiratory therapy team. Unfortunately the patient developed multiple infections, hospital acquired, including klebsiella…
HISTORY OF PRESENT ILLINESS: Mr. Barua is a 42 year old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K McClean of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of weather his treatment of tuberculosis was adequate or if weather there is another cause of his hemoptysis. The duration of his tuberculosis treatment was apparently adequate, according to his wife. But no records are available. In addition, the patient had thrombosis of the axially artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. None the less, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was been given by the wife, Nupaul, with the patient translating for her from the Indie language.…
HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42-year-old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClain of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of whether his treatment for tuberculosis was adequate or whether there is another cause for his hemoptysis. The duration of his tuberculosis treatment was apparently adequate, according to his wife. But no records are available. In addition, the patient had thrombosis of the axillary artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. Nonetheless, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was given by the patient’s wife, Nupur, with the patient translating for her from the Hindu language.…
Question 1 0.5 out of 0.5 points Correct Which type of capillary are the glomerular capillaries? Question 2 0.5 out of 0.5 points Correct Transient thoracic pain is called: Question 3 0.5 out of 0.5 points Correct The length of the refractory period in cardiac muscle Question 4 0 out of 0.5 points Incorrect Which of the following is NOT CORRECT?…
Left heart Catheterization and Coronary angiography were performed via Judkins Technique, using the right femoral artery. Hemodynamic recordings were made in the ascending aorta at rest.…
Enterococcus faecalis is a gram positive, commensal bacterium inhabiting the gastrointestinal tracts of humans and other mammals [1].E. faecalis can cause life-threatening infections in humans. Moreover, the antibiotic resistance exhibited at high levels by E. faecalis contributes to its pathogenicity [2]. Several reports state that enterococcal species possess the property of causing a variety of diseases in humans [3, 4]. It is known from previous studies that Enterococcus faecalis can cause endocarditis, bacteremia, urinary tract infections, meningitis and other infections in humans [5, 6, and 7]. Enterococcus faecalis and Enterococcus faecium are the most predominant species of clinical isolates accounting for more than 90% [8].…
But when bacteria do manage to find its way into the pericardium, causing inflammation, it is not uncommon for blood and or fluid…
Pericardial effusion is a cardiovascular disease, and it arises when too much fluid accumulates around the heart and the pericardium.…
The term cardiomyopathy generally apply’s to any disease affecting the heart. Usually it is used for severe myocardial disease leading to heart failure. Different cases of myocardial diseases can be categorized as extrinsic or intrinsic. The term extrinsic means a cardiomyopathy where the primary pathology is on the outside of the myocardium. The most common cause of an extrinsic cardiomyopathy is ischemia. Ischemia is known as poor oxygen supply of the heart muscle.…
Pericarditis is an inflammation of the thin sac that surrounds the heart (known as the pericardium). This can cause pain as the inflamed pericardium rubs against the heart. Fluid can build up in the pericardium, which can compress the heart and affect its function.…
(DAG) and ceramides impair insulin metabolic signaling and prompt diabetic cardiomyopathy. In this regard, the increased DAG in cardiomyocytes impairs glucose metabolism through activation of protein kinase C (PKC) isoforms [24]. Ceramides are a family of bioactive waxy lipid molecules composed of sphingosine and a fatty acid [24]. Ceramide directly activates the atypical PKCs to phosphorylate and inhibit the insulin metabolic Akt/PKB signaling and thus inhibit GLUT4 translocation and insulin-stimulated glucose uptake [24]. Therefore, lipid accumulation and its lipid metabolites contribute to cardiac insulin resistance and dysfunction.…
Pericarditis symptoms include weakness and fatigue because the body is desperately trying to fight off the infection. Simple tasks will cause exhaustion, and no matter how much rest a person gets, they will still feel tired. And since all blood flows through the heart, when its lining is infected, it can carry this infection throughout the entire body, which leads to a systemic infection that can become life…
Acute Chest Syndrome is noted as a common complication for children with sickle cell disease, especially between the age of two and four years old. Hospitalization for sickle cell patients increases during winter months for children. Most of their symptoms are:…
Congenital heart diseases (CHDs) are the most common cause of all birth defects and account for nearly 30% of all major congenital anomalies leading to mortality in the first year of life. It occurs with an incidence of 1 per 100 live births. The major genetic causes for CHD include chromosomal disorders, single gene disorders, teratogenic disorders and multifactorial disorders. In one third of cases extracardiac anomalies are present, including urogenital anomalies.In this study we present a rare case of a 46,XY patient with CHD associated with ambiguous genitalia. Ambiguity of the external genitalia included: clitoris – like phallus (1.5 cm long), bifid scrotum, two palpable gonads were present in the bifid scrotum. Echocardiogram revealed…
Heart disease is a term for any type of disorder that affects the heart. Every year in the US heart disease claims 800,000 people. That’s 34% of all deaths and 2,400 people every day. 80 million (one in three) Americans live with this disease. Heart disease is the number one killer in the United States.…