discussing Infective Endocarditis, it’s imperative to understand where the endocardium is along with its function because endocarditis affects this area of the heart. The Endocardium is the innermost layer of heart tissue that lines the cavities and valves of the heart and is composed of loose epithelial and connective tissue. The endocardium regulates contractions of the heart and helps regulate the composition of the blood that feeds the tissues of the heart (Kenney, 2015). Infective Endocarditis
with the diagnosis of infective endocarditis. Ariane had her tongue and nose pierced 6 weeks ago. The drug screen is negative. She presents with tricuspid insufficiency murmur grade II, and a temperature of 104°F. The patient complains of extreme fatigue, and anorexia. The echocardiogram reveals vegetations on the tricuspid valve. What risk factors predisposed Ms. Waters to develop infective endocarditis? Body piercings can be major risk factors for infected endocarditis, especially the tongue
During the study period from 2006 to 2014, three hundred sixty patients with a definitive infective endocarditis diagnosis were included. The mean age of the patients was 53 ± 13 (range 18–94). Two hundred thirteen (59%) patients were male and one hundred forty seven were female. 80 of the 362 patients died during hospitalization and in- hospital mortality rate was 22% for the entire study. A total of 295 (83%) of the patients were African American. 76patients had a previous episode of IE (21%).
AND CLINICAL DATA This study is a retrospective chart review of 360 patients with definite or possible Infective Endocarditis according to modified Duke Criteria [1-2] who were admitted to Detroit Receiving Hospital and Harper University Hospital in Detroit from 2006 to 2014. Both hospitals are teaching hospitals in Detroit, Michigan. For a patient with repeated episodes of Infective Endocarditis, one episode was only included at our institutions. Clinical, microbiological, and echocardiographic data
The oral cavity is more often than not viewed as a separate entity than the rest of the body. This is a mistake due to the overriding effect the mouth has on the rest of the body. This view needs to cease immediately due to the fact that oral health affects what people eat, their quality of life, and their speech.1 Oral health also plays an important role with chronic diseases. Unfortunately, oral health has not been a priority among many healthcare professionals, and this has lead to millions
Insuficiencia cardíaca La insuficiencia cardíaca (IC) es la incapacidad del corazón de bombear sangre en los volúmenes más adecuados para satisfacer las demás del metabolismo; si lo logra, lo hace a expensas de una disminución crónica de la presión de llenado de los ventrículos cardíacos. La IC es un síndrome que resulta de trastornos, bien sean estructurales o funciones, que interfieren con la función cardíaca. No debe confundirse con la perdida de latidos, lo cual se cesa, con el subsecuente
and a temperature of 104°F. The patient complains of extreme fatigue, and anorexia. The echocardiogram reveals vegetations on the tricuspid valve. 1. What risk factors predisposed Ms. Waters to develop infective endocarditis? 2. Explain the pathophysiology of infective endocarditis as it relates to this case. 3. What additional clinical manifestations should the nurse include in the assessment of the patient? 4. What medical management should the nurse anticipate for the patient
Abstract Intravenous drug use is a dangerous, yet increasing activity around the world. Persons who inject themselves with illicit drugs are at risk for several complications such as infection caused by contaminated needles. These infections can be serious and often lead to hospitalization as well as other health-related complications. A situation that often arises is determining the best type of treatment for IV drug users who are being discharged from the hospital. Physicians and pharmacists are
Bodily piercing and tattooing are regarded to some as art or adornment, to others, a purposeful religious sentiment. Many individuals fail to entirely consider the fulminant risks associated with penetrating subcutaneous tissue with foreign bodies. The human body is composed of complex systems and mechanisms, which interact in order to maintain homeostasis. When deviancy disrupts the bodily chemical reactions, the internal processes operating to uphold optimal living conditions will be altered.
Although the left atrial appendage (LAA) is not the only site of intracardiac thrombus formation, it is the main site where most thrombi form prior to embolization. (1) Several approaches have been suggested either by excising or excluding the left atrial appeandage(LAA) in patients who are at high risk of stroke, particularly in the patients who have contraindication of chronic anticoagulation. Furthermore, management of LAA is recommended by American college of cardiology in patients who are