Rheumatic endocarditis презентация

Rheumatism
(Sokolsky-Bouillaud disease)
is the infectiously-allergic disease which is characterized by system disorganization of connecting tissue with the dominant defeat of the heart-vessels system.
An exciter is the β-haemolitic streptococcus of group A. 1-3 % of peoples which had streptococci quinsies will be ill by rheumatism. This mean that is the inclination coupled with X-chromosome.

Clinico-morphologic forms of rheumatism
cardiovascular;
polyarthritic;
nodular;
cerebral.

Cardiovascular form of rheumatism
Endocarditis: valvular, chordal, atparietal; acute diffuse, acute warty, fibroplastic, relapsing warty
Myocarditis: granulomatic (nodular productive), diffuse interstitial exudative, focal interstitial exudative.
Pericarditis: serous, serofibrinous, fibrinous.
Vasculitis: capillaritis, arteriolaritis, arteritis.

Rheumatic endocarditis
Endocarditis associated with rheumatic fever.Involvement may be mural but is usually valvular and involves the entire valve; It is then more accurately termed rheumatic valvuliatis.

Endocarditis

Symptoms
Symptoms include:
Fever,chills;
Weakness,low energy;
Sweatiness,especially at night;
Shortness of breath;
Cough;
Loss of appetite,body weight;

Chest pain;
Abdominal pain;
Nausea and vomiting;
Painful red patches on the fingres

Diagnostics
Examination of suspected infective endocarditis includes a detailed examination of the patient,and especially careful
cardiac auscultation;
various blood tests;
ECG;
Echocardiography.

Pathological changes:
early stage: serous endocarditis , valve swelling,translucent
Microscopically: valve become loose due to serous
exudate , accompanied by macrophages entering and
fibrinoid necrosis of collagen fiber.
Concomitant involvement of the endocardium and the left-
sided valves by inflammatory foci typically results the
small (diameter 1- to 2-mm) vegetations .

Mitral stenosis with diffuse fibrous thickening and distortion of
the valve leaflets, commissural fusion (arrows), and thickening
and shortening of the chordae tendineae.

Small vegetations (verruca) are visible along the line
of closure of the mitral valve leaflet (arrows).

Glossary

Spent literature
1)“Essential english for medical students”
A.M.Maslova,Z.I.Winestein,L.S.Plebeyskaya
2)www.google.com
3)www.medicine.com