the diagnosis of infective endocarditis. Ariane had her tongue and nose pierced 6 weeks ago. The drug screen is negative. She presents with tricuspid insufficiency murmur grade II‚ and a temperature of 104°F. The patient complains of extreme fatigue‚ and anorexia. The echocardiogram reveals vegetations on the tricuspid valve. a. What risk factors predisposed Ms. Waters to develop infective endocarditis? b. Explain the pathophysiology of infective endocarditis as it relates to this case.
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faecalis can cause life-threatening infections in humans‚ especially in the nosocomial (hospital) environment‚ where the naturally high levels of antibiotic resistance found in E. faecalis contribute to its pathogenicity. E. faecalis can cause endocarditis and bacteremia‚ urinary tract infections (UTI)‚ meningitis‚ and other infections in humans. Several virulence factors are thought to contribute to E. faecalis infections. A plasmid-encoded hemolysin‚ called the cytolysin‚ is important for pathogenesis
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TIAs are powerful forerunners of stroke. Approximately 10% of patients diagnosed as having a TIA have a stroke in the 90 days following the TIA diagnosis‚ with half of them having a stroke within 2 days of the TIA. TIAs are short-lived episodes of acute‚ focal‚ nonconvulsive neurologic dysfunction presumably caused by reversible ischemia to an area of the retina or brain. Onset of symptoms is sudden and often unprovoked‚ reaching maximum intensity almost immediately. Completed Stroke A completed
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Lorma Colleges City of San Fernando 2500 La Union College of Nursing NCM 103 First Semester School Year 2013 – 2014 Case Study: Management of Patients With Dysrhythmias and Conduction Problems Abby‚ is 21 years of age and is a female patient who received a permanent atrial-ventricular pacemaker for the diagnosis of sick sinus rhythm‚ a disorder that leads to periods of tachycardia and periods of extreme bradycardia or sinus arrest.
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diseases. Your oral health may affect‚ be affected by or contribute to various diseases and conditions. Endocarditis‚ Gum disease and dental procedures that cut your gums may allow bacteria to enter your bloodstream. If you have a weak immune system or a damaged heart valve‚ this can cause infection in other parts of the body — such as an infection of the inner lining of the heart (endocarditis). Cardiovascular disease‚ some research suggests that heart disease‚ clogged arteries and stroke may be
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bacteria tend to infect the skin (see Overview of Bacterial Skin Infections)‚ often causing abscesses. However‚ the bacteria can travel through the bloodstream (called bacteremia) and infect almost any site in the body‚ particularly heart valves ( endocarditis) and bones ( osteomyelitis). The bacteria also tend to accumulate on medical devices in the body‚ such as artificial heart valves or joints‚ heart pacemakers‚ and catheters inserted through the skin into blood
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Explain the systems within your dental practice for internal and external referrals for advice‚ support or treatment. The most common referral in our practice is for a therapist for scale and polish‚ filling‚ whitening teeth‚ radiographs or for extraction of deciduous teeth. Our therapist doesn’t have direct access and patients have to be referred to her. To refer a patient to the therapist‚ appointment need to be booked and therapy prescription placed on the top of the notes in patient file with
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A 62-year old diabetic black man presents in the emergency room with a swollen left leg with areas of blanching and blue mottling. A "foul odor" is coming from a dressed wound. The physicians remove the dressing and a brownish fluid is seeping from a wounded area. The fluid contains what appear to be small bits of the tissue. No pus appears to be present. The wound has a strong "rotten" odor. Five days earlier‚ while at his work as a farmer‚ he caught the leg in his manure spreader‚ sustaining a
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1. Appears as grape-like clusters when viewed through a microscope‚ and has large‚ round‚ golden-yellow colonies‚ often with hemolysis‚ when grown on blood agar plates. 2. Microorganisms that are used to assess the microbial quality of swimming pool and similar environments include heterotrophic plate count – HPC (a general measure of non-specific microbial levels)‚ faecal indicators (such as thermotolerant coliforms‚ E. coli)‚ Pseudomonas aeruginosa‚ Staphylococcus aureus and Legionella spp. HPC
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addict‚ feels tired‚ is weak and feverish‚ and has vague aches and pains. Terrified that he has AIDS‚ he goes to a doctor and is informed that he is suffering not from AIDS‚ but from a heart murmur accompanied by endocarditis. What is the most likely way that Gabriel contracted endocarditis? ( 4 points).
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