22. Systemic Pathology Flashcards Preview

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Flashcards in 22. Systemic Pathology Deck (234)
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1

Accumulation of blood in pericardial space

Cardiac tamponade

2

“Beck’s triad” assoc with Cardiac tamponade

Distended neck veins
Distant muffled heart sounds
Decrease arterial BP

3

3 diseases assoc with RHD/RF

Scarlet fever
Impetigo
Strep throat

4

Disease caused by post streptococcal hypersensitivity

RHD

5

Strawberry tongue

Scarlet fever

6

Diff dx of scarlet fever (with strawberry tongue also)

Kawasaki disease

7

2 Histologic features of RHF

Aschoff bodies
Anitschkow giant cells

8

Pathognomonic granulomatous inflammed tissue of myocardium

Aschkoff bodies

9

“Caterpillar like” 🐛 Giant macrophages

Anitschkow giant cells

10

5 features of RF/RHD

Polyarthritis
Pancarditis
Valvular damage (mitral valve)
Chorea
Erythema marginatum

11

BQ: what Pericarditis is associated with RHD?

Fibrinoid pericarditis

12

Other term for fibrinoid pericarditis

“Bread and butter” pericarditis

13

BQ: Clinica feature of erythema multiforme

Target skin lesion/bull’s eye

14

Bacteria colonization of heart valves (mitral valve)

Endocarditis

15

Most common cause of Endocarditis (old textbook)

RHD

16

Accdg to WHO: High risk of Endocarditis in:

Prosthetic heart valve
Recent cardiac surgery
History of endocarditis

17

Treatment for pxs with high risk of having Endocarditis before Extraction or invasive procedures

Prophylactic antibiotic:
1. Amoxicillin 2,000mg/2g
- 30mins to 60mins prior to invasive procedure

2. Clindamycin 600mg
- if allergic to amox

18

Side effect of clindamycin

Pseudomembranous colitis

19

Causative agent/bacteria of pseudomembranous colitis

Clostridium difficile

20

Tx for pseudomembranous colitis

Metronidazole
Vancomycin

21

Side effect of vancomycin

Red man syndrome

22

Most common type of endocarditis

Subacute endocarditis

23

Bacteria assoc with “endocarditis”

Streptococcus viridans

24

Infection of lungs esp the alveoli

Pneumonia

25

2 types of pneumonia

Bacterial and viral pneumonia

26

Causative agent of bacterial pneumonia

Strep pneumoniae

27

Viral pneumonia

Influenza virus (orthomyxovirus)
RSV (paramyxovirus)

28

“Collapsed” alveoli of lungs (decrease in size/deflated) due to surfactant deficiency

Atelectasis
(“Ectasis” - collapse)

29

COPD (3)

Bronchiectasis
Emphysema
Chronic bronchitis

30

BQ: disease assoc with “Barrel chest appearance”

COPD* (boards)
- Emphysema