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![Rheumatism (Sokolsky-Bouillaud disease) is the infectiously-allergic disease which is characterized](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-1.jpg)
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.
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![Clinico-morphologic forms of rheumatism cardiovascular; polyarthritic; nodular; cerebral.](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-2.jpg)
Clinico-morphologic forms of rheumatism
cardiovascular;
polyarthritic;
nodular;
cerebral.
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![Cardiovascular form of rheumatism Endocarditis: valvular, chordal, atparietal; acute diffuse,](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-3.jpg)
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.
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![Rheumatic endocarditis Endocarditis associated with rheumatic fever.Involvement may be mural](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-4.jpg)
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.
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![Endocarditis](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-5.jpg)
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![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-6.jpg)
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![Symptoms Symptoms include: Fever,chills; Weakness,low energy; Sweatiness,especially at night; Shortness](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-7.jpg)
Symptoms
Symptoms include:
Fever,chills;
Weakness,low energy;
Sweatiness,especially at night;
Shortness of breath;
Cough;
Loss of appetite,body weight;
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![Chest pain; Abdominal pain; Nausea and vomiting; Painful red patches on the fingres](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-8.jpg)
Chest pain;
Abdominal pain;
Nausea and vomiting;
Painful red patches
on the fingres
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![Diagnostics Examination of suspected infective endocarditis includes a detailed examination](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-9.jpg)
Diagnostics
Examination of suspected infective endocarditis includes a detailed examination of the
patient,and especially careful
cardiac auscultation;
various blood tests;
ECG;
Echocardiography.
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![Pathological changes: early stage: serous endocarditis , valve swelling,translucent Microscopically:](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-10.jpg)
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 .
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![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-11.jpg)
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![Mitral stenosis with diffuse fibrous thickening and distortion of the](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-12.jpg)
Mitral stenosis with diffuse fibrous thickening and distortion of
the valve
leaflets, commissural fusion (arrows), and thickening
and shortening of the chordae tendineae.
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![Small vegetations (verruca) are visible along the line of closure of the mitral valve leaflet (arrows).](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-13.jpg)
Small vegetations (verruca) are visible along the line
of closure of
the mitral valve leaflet (arrows).
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![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-14.jpg)
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![](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-15.jpg)
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![Glossary](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-16.jpg)
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![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](/_ipx/f_webp&q_80&fit_contain&s_1440x1080/imagesDir/jpg/14524/slide-17.jpg)
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