What is Pathology - Rheumatic Endocarditis
Pathophysiology • BHS that cause impetigo or throat infections enter the circulation and result in bacteremia. Typically 2-3 weeks after the original infection, the BHS infects the heart. Clients may experience it as a kid and later experience rheumatic endocarditis at any age. • The entire heart is affected, with all cardiac structures displaying widespread inflammation. Vegetation that has been accumulated on the valves can harm the endocardium, and structural abnormalities in the heart can lead to CHF. Evaluation and Diagnostic Results • Tachycardia, pericardial friction rub, heart murmur, chest discomfort, fever, subcutaneous nodules, polyarthritis, arthralgia, dyspnea, cough, and abdominal pain. • The ECG reveals a lengthening PR gap. • The mitral valve's irregular movement is visible on an ECHO. • A pharynx culture that is positive for BHS and has an antistreptolysin O titer of more than 250 IU/mL; the CBC and ESR also indicate infection and inflammation. Thromboembolism, mitral or aortic valve insufficiency, and CHF are complications. Medical Attention and Surgical Procedure • As-needed antipyretics and long-term antimicrobial treatment. • Heart failure treatment. • Mitral valve replacement, percutaneous inflatable valvuloplasty, or mitral valvulotomy. • Explain to patients that any sore throat or case of impetigo needs to be cultured, treated, and then cultured again to make sure the illness has been cured. • Keep an eye out for CBC progress. • Keep an eye out for signs of heart failure and pericardial friction rub in the customer. • Keep an eye on exercise tolerance and oxygen saturation; provide relaxing activities.
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