kiterunner
Forum Junior
Topics: 14
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A young IV drug abuser presents with fever, a new murmur, and mental status change. Blood cultures are +ve for S. aureus and her WBC count is 19,200/uL. Echo reveals a 1.5 cm vegetation on MV. Which of the following changes listed is least likely to be a complication of her disease process?
a) Left atrial dialatation
b) Glomerulonephritis
c) Intramyocardial or ring abscesses
d) CNS embolic events
e) Myxomatous degeneration of MV
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| SmokyWaters
Forum Elite
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Posts: 458
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myxomatous deg
LA dilation.. caused by MS...old EC...
ring abscess...quite an often complication of untreated EC
CNS event...vegetations are fraible...
Glomerulonephritis... antigen antibody production..reaction... present as hematuria/albuminuria/renal failure ... bla bla
myxomatous deg...
one of the most common causes of MVP in women in US....associated with mutations in fibrilling gene 1 that encodes for fibrillin that surrounds elastin and is required for elastic fibers....marfan syndrome...
scoliosis, straight back, high arched palate....may be asscoiated...
characteristic anatomic change is intercordal ballooning of mitral leaflets...
EC features...
Osler nodes...painful nodules in pulp of digits
janeway lesions...nontender hemorrhagic lesionso on palms or soles... NOT NECESSARILY PULP
although all of these are uncommon now due to good treatment modalities
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| new_n_lost
Politically InCorrect
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e) Myxomatous degeneration of MV
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| kingusmle
Forum Elite
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e e e
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