Vulvular Heart Disease

1) Name the abnormality seen in picture A, B and C (3m)

2) What is your provisional diagnosis (1m)

3) Name one causative agent (1m)

4) What other signs that you would like to look for (1m)

5) Name two investigation you would like to perform (2m)

6) Name two complication of the disease in organ other than hearts.

** answer is provided below.. huhu mawardi jangan jeles. aku upload gambo lagi kat bawah..huhu

** Sape2 yang ade mood leh tolong postkan note tak psl IE kat komen.. malas sgt2 nak bace...

1)

a) Splinter hemorrhage

b) Osler node

c) Janeway lesion

2) Infective endocarditis

3) Streptococcus viridians (gram +ve cocci is 90% out of other bacteria)

4) Roth spot in the retina, conjunctiva petichae, murmur on auscultation (vulvular regurgitation).

5) Blood culture, echocardiography

6)

a) kindney-glomerulonephritis

b) Lung- Pulmonary embolism

c) Brain- Middle cerebral artery infarction