Podcast
Questions and Answers
What is a common complication of untreated rheumatic fever?
What is a common complication of untreated rheumatic fever?
- Acute kidney injury
- Pneumonia
- Rheumatic carditis (correct)
- Sepsis
Which assessment finding is least likely to be present in rheumatic carditis?
Which assessment finding is least likely to be present in rheumatic carditis?
- Fever
- Heart murmur
- Splinter hemorrhages (correct)
- Rapid heart rate
Which diagnostic finding would most directly indicate inflammation in a patient suspected of having rheumatic fever?
Which diagnostic finding would most directly indicate inflammation in a patient suspected of having rheumatic fever?
- Decreased C-reactive protein
- Normal white blood cell count
- ECG abnormalities
- Elevated ESR (correct)
What is the primary medical management for a client diagnosed with infective endocarditis?
What is the primary medical management for a client diagnosed with infective endocarditis?
Which of the following factors is a significant risk for developing infective endocarditis?
Which of the following factors is a significant risk for developing infective endocarditis?
Which symptoms are characteristic of infective endocarditis?
Which symptoms are characteristic of infective endocarditis?
When managing a client with rheumatic fever, which nursing intervention is essential?
When managing a client with rheumatic fever, which nursing intervention is essential?
What potential outcome is linked to prolonged pericarditis if left untreated?
What potential outcome is linked to prolonged pericarditis if left untreated?
What is a key characteristic of myocarditis that differs from myocardial infarction?
What is a key characteristic of myocarditis that differs from myocardial infarction?
Which diagnostic finding is essential in diagnosing pericarditis?
Which diagnostic finding is essential in diagnosing pericarditis?
What is a primary medical management intervention for cardiomyopathy?
What is a primary medical management intervention for cardiomyopathy?
In which scenario is pericardiocentesis indicated?
In which scenario is pericardiocentesis indicated?
What type of cardiomyopathy is characterized by leg swelling and dyspnea on exertion when lying down?
What type of cardiomyopathy is characterized by leg swelling and dyspnea on exertion when lying down?
Which assessment finding in pericarditis is commonly associated with altered blood pressure?
Which assessment finding in pericarditis is commonly associated with altered blood pressure?
What symptom is typically reported in patients with restrictive cardiomyopathy?
What symptom is typically reported in patients with restrictive cardiomyopathy?
Which laboratory test is crucial for evaluating the inflammatory process associated with myocarditis?
Which laboratory test is crucial for evaluating the inflammatory process associated with myocarditis?
What is a common side effect of aggressive IV antibiotic therapy in management of heart infections?
What is a common side effect of aggressive IV antibiotic therapy in management of heart infections?
What lifestyle change is often recommended for patients with cardiomyopathy?
What lifestyle change is often recommended for patients with cardiomyopathy?
What is the primary rationale for covering the site of pericardiocentesis with a sterile dressing?
What is the primary rationale for covering the site of pericardiocentesis with a sterile dressing?
Which of the following assessment findings is most commonly associated with pericarditis?
Which of the following assessment findings is most commonly associated with pericarditis?
Which set of symptoms is least likely to be associated with thrombophlebitis?
Which set of symptoms is least likely to be associated with thrombophlebitis?
What is the significance of Virchow's triad in relation to thrombus formation?
What is the significance of Virchow's triad in relation to thrombus formation?
Which of the following is NOT a common management strategy for thromboangiitis obliterans?
Which of the following is NOT a common management strategy for thromboangiitis obliterans?
Which symptom pair best describes intermittent claudication as it relates to Buerger disease?
Which symptom pair best describes intermittent claudication as it relates to Buerger disease?
In assessing a patient with signs of venous thromboembolism, which diagnostic tool is most appropriate for evaluating venous structures?
In assessing a patient with signs of venous thromboembolism, which diagnostic tool is most appropriate for evaluating venous structures?
Which symptom is characteristic of a significant complication associated with untreated pericarditis?
Which symptom is characteristic of a significant complication associated with untreated pericarditis?
When providing care for a patient with pericarditis, which of the following findings suggests a management strategy has been successful?
When providing care for a patient with pericarditis, which of the following findings suggests a management strategy has been successful?
What is a key characteristic of rheumatic fever that distinguishes it from rheumatic carditis?
What is a key characteristic of rheumatic fever that distinguishes it from rheumatic carditis?
Which assessment finding would likely indicate rheumatic carditis in a patient?
Which assessment finding would likely indicate rheumatic carditis in a patient?
What is the primary infectious risk factor associated with the development of infective endocarditis?
What is the primary infectious risk factor associated with the development of infective endocarditis?
Which symptom is least likely to be associated with infective endocarditis?
Which symptom is least likely to be associated with infective endocarditis?
Which of the following nursing interventions is essential for a patient diagnosed with rheumatic fever?
Which of the following nursing interventions is essential for a patient diagnosed with rheumatic fever?
Which laboratory finding is most directly related to active inflammation in patients with rheumatic fever?
Which laboratory finding is most directly related to active inflammation in patients with rheumatic fever?
What primary risk factor for infective endocarditis involves the use of medical devices?
What primary risk factor for infective endocarditis involves the use of medical devices?
What finding on a patient with rheumatic fever might suggest the presence of a heart murmur?
What finding on a patient with rheumatic fever might suggest the presence of a heart murmur?
What are some common assessment findings in a patient with thrombophlebitis?
What are some common assessment findings in a patient with thrombophlebitis?
What is the primary non-surgical management approach for a patient diagnosed with thromboangiitis obliterans?
What is the primary non-surgical management approach for a patient diagnosed with thromboangiitis obliterans?
Which clinical sign is most characteristic of pericarditis?
Which clinical sign is most characteristic of pericarditis?
In assessing a patient with potential Buerger disease, what symptom would be least likely to be present?
In assessing a patient with potential Buerger disease, what symptom would be least likely to be present?
Which combination of symptoms is commonly associated with acute pericarditis?
Which combination of symptoms is commonly associated with acute pericarditis?
What underlying factors contribute to the development of thrombophlebitis as described by Virchow's triad?
What underlying factors contribute to the development of thrombophlebitis as described by Virchow's triad?
When managing a client with pericarditis, which symptom would indicate that the condition has worsened?
When managing a client with pericarditis, which symptom would indicate that the condition has worsened?
Which of the following findings must be monitored closely in a patient receiving anticoagulant therapy for thrombophlebitis?
Which of the following findings must be monitored closely in a patient receiving anticoagulant therapy for thrombophlebitis?
What is a common indicator for the necessity of Doppler ultrasound in a patient suspected of having venous thromboembolism?
What is a common indicator for the necessity of Doppler ultrasound in a patient suspected of having venous thromboembolism?
What complication should be considered for a patient with untreated pericarditis?
What complication should be considered for a patient with untreated pericarditis?
What is a key symptom of myocarditis that distinguishes it from myocardial infarction?
What is a key symptom of myocarditis that distinguishes it from myocardial infarction?
Which diagnostic test is essential for assessing cardiomyopathy?
Which diagnostic test is essential for assessing cardiomyopathy?
Which of the following is a hallmark finding of pericarditis during auscultation?
Which of the following is a hallmark finding of pericarditis during auscultation?
What surgical intervention is often required for severe cases of cardiomyopathy?
What surgical intervention is often required for severe cases of cardiomyopathy?
Which medication class is NOT typically used in the management of myocarditis?
Which medication class is NOT typically used in the management of myocarditis?
What finding would be suggestive of cardiac tamponade?
What finding would be suggestive of cardiac tamponade?
In cases of suspected myocarditis, which viral agents are commonly associated?
In cases of suspected myocarditis, which viral agents are commonly associated?
What is a significant dietary recommendation for patients with heart inflammatory disorders?
What is a significant dietary recommendation for patients with heart inflammatory disorders?
Which assessment finding is crucial in diagnosing pericarditis?
Which assessment finding is crucial in diagnosing pericarditis?
What is typically the primary management for a patient diagnosed with pericarditis?
What is typically the primary management for a patient diagnosed with pericarditis?
What is the pathophysiological basis for rheumatic carditis?
What is the pathophysiological basis for rheumatic carditis?
Which assessment finding is characteristic of infective endocarditis?
Which assessment finding is characteristic of infective endocarditis?
Which laboratory test is crucial for diagnosing inflammation associated with rheumatic fever?
Which laboratory test is crucial for diagnosing inflammation associated with rheumatic fever?
What is the primary treatment approach for rheumatic fever to prevent complications?
What is the primary treatment approach for rheumatic fever to prevent complications?
Which microorganism is commonly associated with causing infective endocarditis?
Which microorganism is commonly associated with causing infective endocarditis?
Which clinical manifestation would be consistent with rheumatic fever?
Which clinical manifestation would be consistent with rheumatic fever?
Which of the following risks is most associated with the development of infective endocarditis?
Which of the following risks is most associated with the development of infective endocarditis?
Which of the following nursing interventions is critical for a patient diagnosed with infective endocarditis?
Which of the following nursing interventions is critical for a patient diagnosed with infective endocarditis?
Which of the following symptoms is NOT typically associated with acute pericarditis?
Which of the following symptoms is NOT typically associated with acute pericarditis?
What is the primary rationale for immediate intervention in a patient with thrombophlebitis?
What is the primary rationale for immediate intervention in a patient with thrombophlebitis?
Which finding is commonly associated with myocarditis and is characterized by sharp chest pain that is relieved by sitting up?
Which finding is commonly associated with myocarditis and is characterized by sharp chest pain that is relieved by sitting up?
When assessing a patient for Buerger disease, which finding would be least expected?
When assessing a patient for Buerger disease, which finding would be least expected?
What is the primary pathological change in cardiomyopathy?
What is the primary pathological change in cardiomyopathy?
Which treatment strategy is generally recommended for managing thromboangiitis obliterans?
Which treatment strategy is generally recommended for managing thromboangiitis obliterans?
In assessing a client with potential pericarditis, which combination of assessment findings is crucial?
In assessing a client with potential pericarditis, which combination of assessment findings is crucial?
Which finding is indicative of pericarditis during auscultation?
Which finding is indicative of pericarditis during auscultation?
What is a common non-surgical management strategy used in both myocarditis and pericarditis?
What is a common non-surgical management strategy used in both myocarditis and pericarditis?
What is a critical nursing management concern for a client with thrombophlebitis?
What is a critical nursing management concern for a client with thrombophlebitis?
Which of the following is a specific symptom of restrictive cardiomyopathy?
Which of the following is a specific symptom of restrictive cardiomyopathy?
Which assessment finding typically indicates worsening severity in patients with thrombophlebitis?
Which assessment finding typically indicates worsening severity in patients with thrombophlebitis?
What is the role of echocardiography in diagnosing infectious and inflammatory disorders of the heart?
What is the role of echocardiography in diagnosing infectious and inflammatory disorders of the heart?
In the context of diagnosing Buerger disease, which symptom signifies chronic ischemia?
In the context of diagnosing Buerger disease, which symptom signifies chronic ischemia?
Which diagnostic method is least commonly utilized for detecting thromboangiitis obliterans?
Which diagnostic method is least commonly utilized for detecting thromboangiitis obliterans?
Which symptom may suggest advanced cardiac tamponade linked to pericarditis?
Which symptom may suggest advanced cardiac tamponade linked to pericarditis?
What would be a significant nursing intervention for managing a patient with acute pericarditis?
What would be a significant nursing intervention for managing a patient with acute pericarditis?
During nursing management of a patient with myocarditis, which intervention is priority?
During nursing management of a patient with myocarditis, which intervention is priority?
Which laboratory marker is typically elevated in cases of pericarditis due to inflammation?
Which laboratory marker is typically elevated in cases of pericarditis due to inflammation?
What's an accurate assessment finding linked to hypertrophic cardiomyopathy?
What's an accurate assessment finding linked to hypertrophic cardiomyopathy?
Flashcards
Rheumatic Fever
Rheumatic Fever
An inflammatory condition following a group A streptococcal infection, affects the heart.
Rheumatic Carditis
Rheumatic Carditis
Inflammation of the heart caused by rheumatic fever.
Infective Endocarditis
Infective Endocarditis
Inflammation of the inner lining of the heart, caused by microorganisms.
Bacterial Endocarditis Risk Factor
Bacterial Endocarditis Risk Factor
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Infective Endocarditis Assessment
Infective Endocarditis Assessment
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Rheumatic Fever Assessment
Rheumatic Fever Assessment
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Endocarditis Diagnostic Tests
Endocarditis Diagnostic Tests
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Bacterial Endocarditis Causes
Bacterial Endocarditis Causes
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Myocarditis
Myocarditis
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Cardiomyopathy Types
Cardiomyopathy Types
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Pericarditis
Pericarditis
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Cardiac Tamponade
Cardiac Tamponade
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Pulsus Paradoxus
Pulsus Paradoxus
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Diagnostic Finding for Myocarditis, Heart inflammation
Diagnostic Finding for Myocarditis, Heart inflammation
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Myocarditis Assessment Findings
Myocarditis Assessment Findings
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Pericarditis Assessment Findings
Pericarditis Assessment Findings
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Cardiomyopathy Diagnostic Tests
Cardiomyopathy Diagnostic Tests
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Pericarditis Diagnostic Tests
Pericarditis Diagnostic Tests
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Pericardiocentesis dressing care
Pericardiocentesis dressing care
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Pericarditis assessment
Pericarditis assessment
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Thrombophlebitis
Thrombophlebitis
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Virchow triad
Virchow triad
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Thrombophlebitis assessment
Thrombophlebitis assessment
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Buerger disease
Buerger disease
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Buerger disease symptoms
Buerger disease symptoms
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Buerger disease treatment
Buerger disease treatment
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Thrombophlebitis diagnostic tools
Thrombophlebitis diagnostic tools
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Thrombophlebitis management
Thrombophlebitis management
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Rheumatic Fever Cause
Rheumatic Fever Cause
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Infective Endocarditis Cause
Infective Endocarditis Cause
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Infective Endocarditis Signs
Infective Endocarditis Signs
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Rheumatic Carditis Assessment
Rheumatic Carditis Assessment
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Bacterial Endocarditis Risk
Bacterial Endocarditis Risk
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Infective Endocarditis Management
Infective Endocarditis Management
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Rheumatic Fever Management
Rheumatic Fever Management
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What is Myocarditis?
What is Myocarditis?
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Cardiomyopathy
Cardiomyopathy
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Dilated Cardiomyopathy
Dilated Cardiomyopathy
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Hypertrophic Cardiomyopathy
Hypertrophic Cardiomyopathy
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Restrictive Cardiomyopathy
Restrictive Cardiomyopathy
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Pericarditis Management
Pericarditis Management
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Buerger's Disease Risk Factor
Buerger's Disease Risk Factor
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Buerger's Disease Assessment
Buerger's Disease Assessment
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Buerger's Disease Management
Buerger's Disease Management
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What are three types of Cardiomyopathy?
What are three types of Cardiomyopathy?
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What are some assessment findings of Myocarditis?
What are some assessment findings of Myocarditis?
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What is Pericarditis?
What is Pericarditis?
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What are some assessment findings of Pericarditis?
What are some assessment findings of Pericarditis?
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What is Cardiac Tamponade?
What is Cardiac Tamponade?
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What is Pulsus Paradoxus?
What is Pulsus Paradoxus?
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What are some diagnostic tests for Pericarditis?
What are some diagnostic tests for Pericarditis?
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What is the medical treatment for Pericarditis?
What is the medical treatment for Pericarditis?
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What is the surgical treatment for Pericarditis?
What is the surgical treatment for Pericarditis?
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Study Notes
Infectious and Inflammatory Disorders of the Heart
-
Rheumatic Fever and Rheumatic Carditis
- Pathophysiology: follows group A streptococcal infection
- Rheumatic carditis: inflammatory cardiac manifestations of rheumatic fever
- Assessment Findings: mild fever, rapid heart rate, abnormal rhythm, rash (red, spotty), swollen warm, red, and painful joints, heart murmur, pericardial friction rub
-
Infective Endocarditis
- Pathology: inflammation of inner heart tissue (autoimmune response)
- Microorganisms: bacteria, streptococci, staphylococci, fungi (see Table 23-1)
- Causes: prolonged IV therapy, cardiac pacemaker/catheterization, Foley
- Assessment Findings: fever, chills, muscle aches, joint pain, Osler nodes, splinter hemorrhages, Janeway lesions, Roth spots, petechiae, enlarged spleen, heart murmur
-
Myocarditis
- Pathophysiology: inflammation of heart muscle layer
- Causes: viral, bacterial, fungal, or parasitic infection (e.g. Coxsackie viruses A and B, influenza A and B, measles, mumps, Epstein-Barr virus, COVID-19)
- Assessment Findings: sharp stabbing or squeezing chest discomfort (resembles MI), low-grade fever, tachycardia, dysrhythmias, dyspnea, fatigue, cyanotic skin, crackles, S3 galloping rhythm
-
Pericarditis
- Pathophysiology: inflammation of pericardium, primary or secondary (with or without effusion)
- Secondary to: endocarditis, myocarditis, chest trauma, MI, post-cardiac surgery
- Cardiac tamponade: acute compression of the heart, pulsus paradoxus (see Nursing Guidelines 23-1)
- Assessment Findings: fever, malaise, heaviness in chest, precordial pain, worsening pain with movement/breathing, relief with upright posture, pericardial friction rub, severe hypotension
Diagnostic Findings, Medical and Surgical, and Nursing Management (Infectious and Inflammatory Disorders of the Heart)
- Diagnostic Findings: anemia, leukocytosis, blood cultures, transesophageal echocardiography, ECG
- Medical and Surgical Management: high doses of IV antibiotic therapy, bed rest, valve replacement (see Drug Therapy Table 23-1)
- Nursing Management: limit activity, assess for changes in weight, pulse rate, and rhythm, administer antibiotics, monitor cardiopulmonary status, VS, I&O, daily weights, LS, SpO2, maintain BR, O2
Inflammatory Disorders of the Peripheral Blood Vessels
-
Thrombophlebitis
- Pathophysiology: inflammation of a vein with clot/thrombus formation (DVT, PE)
- Inner vein is irritated or injured; platelets clump together
- Virchow triad: venous stasis, altered blood coagulation, trauma to the vein (causes)
- Assessment Findings: calf pain that increases with dorsiflexion (Homans sign), heat, redness, and swelling, capillary refill < 2 seconds, fever, malaise, fatigue, anorexia
-
Thromboangiitis Obliterans (Buerger Disease)
- Pathophysiology: inflammation of blood vessels with clot formation and fibrosis of the blood vessel wall
- Assessment Findings: cold, numbness, burning, and tingling in feet, intermittent claudication (leg cramps after exercise), pain at rest, cyanosis and redness of feet and legs, skin: mottled purplish-red, thin and shiny, sparse hair growth, black gangrenous areas on toes and heels
- Medical Management: tobacco restriction, Buerger-Allen exercises, analgesics, sympathectomy
- Nursing Management: history of pain (increased or decreased), examine extremities, nails, skin, temperature, peripheral pulses, capillary refill. See client and family teaching 23-4
Additional Information
- Medical and Surgical Management (Inflammatory Disorders of Peripheral Blood Vessels): Doppler ultrasound, venography, impedance plethysmography (IPG), ambulation, compression bandaging, anticoagulant therapy
- Medical and Surgical Management (Additional): diuretics, digitalis, antihypertensives, antidysrhythmic, anticoagulants, corticosteroids, dietary sodium restriction, pacemaker, defibrillator, ventriculomyomectomy, transplant
- Nursing Management (Infectious and Inflammatory Disorders of the Heart): administer prescribed drug therapy, diversion activities, bed rest, prophylactic antibiotics. Limit activity, assess for changes in weight, pulse rate, and rhythm; administer antibiotics. Monitor cardiopulmonary status, VS, I&O, daily weights, SpO2, maintains BR, O2
Question #1
- Correct Answer: B) Strep throat 4 weeks earlier
- Rationale: Bacterial endocarditis is associated with upper respiratory infection caused by the Streptococcus bacteria.
Question #2
- Correct Answer: E) All of the above
- Rationale: The signs and symptoms of inflammatory disorders of the heart include diaphoresis, chest pain, friction rubs, and elevated cardiac enzymes.
Question #3
- Correct Answer: C) The condition is associated with smoking.
- Rationale: Buerger's disease is an inflammatory process affecting medium-sized arteries/veins of the legs, leading to occlusion of circulation. Smoking exacerbates the process.
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Description
Test your knowledge on infectious and inflammatory disorders of the heart, including rheumatic fever, infective endocarditis, and myocarditis. This quiz covers pathophysiology, assessment findings, and key microorganisms involved in these conditions. Dive deep into heart diseases and enhance your understanding of cardiovascular health.