1).
Endocarditis is generally caused by the normal microbiota residing in the skin or mouth of the individuals, and is also observed in the people with rheumatic fever. Endocarditis increase the risk of stroke.
Subacute bacterial endocarditis (SBE) is a bacterial infection of the inner lining of the heart and the heart valves, which develop over a period of weeks or months. In contrast, the acute endocarditis begins suddenly and become fatal within a few days.
In the given case, the patient developed the symptoms two weeks after the teeth extraction, and did not use antibiotics before or after tooth extraction. Means, the infection might have initiated several weeks before. Thus, the patient had SBE.
2).
The risk factors of endocarditis in the given patient are,
Rheumatic fever is a bacterial infection caused by Streptococcal species. It generally causes inflammation of joints, heart diseases and also disturbs the nervous system. In 40% of the patients with rheumatic fever carditis (inflammation of heart) is observed. Inflammation of endocardium (inner layer of heart) causes the valve impairment particularly the mitral valve (left atrio-ventricular (AV) valve).
Tobacco abuse increase the risk of oral infections, which increase the risk of endocarditis. People with mitral valve replacement are also at higher risk of endocarditis.
3).
The symptoms including cough, chest pain, and breathing problems indicate severe tricuspid valve endocarditis, and pulmonary embolism. The absence of rashes and visual problems indicate the absence of embolus formation. So, absence of these symptoms indicate the absence of embolus formation.
4).
The past medical history (PMH) of the patient is given below:
Drugs used to expand the bronchial tubes are known as “bronchodilators.” They act by relaxation of bronchial smooth muscle. Theophylline is a bronchodilator that is used in the treatment of asthma and COPD for its smooth muscle relaxation property.
5).
Metformin is an anti-diabetic drug that decreases the gluconeogenesis from the liver and also decrease the reabsorption of glucose from the intestine, while promoting the cellular glucose uptake. This results in regulation of blood glucose levels in the diabetic patients.
6).
The drugs nadolol (nonselective beta antagonist) and furosemide are both used in the treatment of hypertension. Nadalol reduce the force and rate of contraction of the heart, while furosemide causes diuresis and reduced fluid volume in the body.
7).
Penicillin is an antibiotic used in the treatment of bacterial infections. Penicillin reaction is a hypersensitivity reaction towards penicillin.
The common signs and symptoms of insulin sensitivity are, rash, itching, and difficulty in breathing (or dyspnea). These clinical signs are important because the severe form of penicillin reaction (anaphylaxis) is life-threatening and require immediate medical assistance.
8).
9)
The term “track marks” refer to scars that are formed after taking a drug through the intravenous route. Chronic intravenous drug abuse is the common cause of “track marks.” Absence of track marks indicate that the patient is not an intravenous drug abuser. The intravenous drug abusers are also at high risk of developing infectious endocarditis.
10).
Endocarditis is generally caused by the normal microbiota residing in the skin or mouth of the individuals, and is also observed in the people with rheumatic fever. Endocarditis increase the risk of stroke.
The physical examination revealed that the patient had “poor dentition,” means the patient is at risk of bacterial infection. Bacterial infection (Staphylococcus infections) is the common cause of endocarditis.
Help 5-16 please For the Disease Summary for this case study, see the CD-ROM PATIENT CASE...
10 questions For the Disease Summary for this case study, see the CD-ROM PATIENT CASE HPI Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills. "I don't feel well and I think that I may have the flu," he tells the ER nurse and physician. He also complains of "some painful bumps on my fingers and toes that came on last night." He denies IVDA. When asked about recent...
help please. questions 5-16 please PATIENT CASE HPI Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills. "I don't feel well and I think that I may have the flu," he tells the ER nurse and physician. He also complains of "some painful bumps on my fingers and toes that came on last night." He denies IVDA. When asked about recent medical or dental proce- dures, he responded: "I...
Help.. 1-9 please For the Disease Summary for this case study see the CD-ROM. PATIENT CASE History of Present IIlness K.I. is a 14-year-old white female, who presents with her mother at the hospital emergency room complaining of a "very sore throat, a rash all over, and chills." She has had the sore throat for two days, but the rash and chills have developed within the past 12 hours. Past Medical History Negative for surgeries and hospitalizations Negative for serious...
ut References Mailings Review View Help contain viruses. Unless you need to edit, it's safer to stay in Protected View. Enable Editing KEY NRSG 2515 Infective Endocarditis Infective Endocarditis Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, "I don't feel well and I think that I may have the flu," he tells the ER nurse and physician. He also complains of "some painful bumps on my fingers and...
Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, “I don’t feel well and I think that I may have the flu,” he tells the ER nurse and physician. He also complains of “some painful bumps on my fingers and toes that came on last night.” He denies IVDA. When asked about recent medical or dental procedures, he responded: “I had an infected tooth removed about two weeks ago.”...
NRSG 2435 Infective Endocarditis (1) Protected View Saved to this PC Layout References Mailings Review View Help net can contain viruses. Unless you need to edit, it's safer to stay in Protected View. Enable Editing NRSG 2515 Infective Endocarditis KEY Infective Endocarditis Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, "I don't feel well and I think that I may have the flu," he tells the ER nurse...
Mr. H.Y. is a 63-year-old male, who presents to the ER with a two-day history of high-grade fever with chills, “I don’t feel well and I think that I may have the flu,” he tells the ER nurse and physician. He also complains of “some painful bumps on my fingers and toes that came on last night.” He denies IVDA. When asked about recent medical or dental procedures, he responded: “I had an infected tooth removed about two weeks ago.”...
CASE STUDY 46 ATTENTION DEFICIT/HYPERACTIVITY DISORDER For the Di S CD-ROM mary for this study PATIENT CASE Mother's Chief Complaints "Tm at the end of my rope and I don't know what to do anymore. My son won't behave orlis ten at school and he most certainly will not listen to me at home He always seems to be in motion and can't sit still for even 5 minutes. He likes watching cartoons on TV but gets bored with them...
Please answer all Case Question 1-15. this case study is from "100 case studies in pathophysiology. case #14 Patient's Chief Complaints "I'm falling apart. I've been having more trouble breathing, my cough has gotten worse in the past three days, and now my ankles are beginning to swell up." History of Present IIlness J.T. is a 61 yo man with COPD who presents to the emergency room with a three-day history of progressive dyspnea, cough, and increased production of clear...
Case #1 History of Present Illness: The patient is 42 year old Caucasian male with no prior cardiac history. He presented to the emergency room at Green River Hospital complaining of chest pain. This morning he notices some numbness and pain in his left arm. Later in the day he developed pressure in the chest. This gradually worsened throughout the morning until shortly before lunch when he was rating the pain at 8/10 in severity and decided to go to...