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MedSurg II - EXAM 3 Questions and Answers with Verified Solutions | Latest Updated 2026

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MedSurg II - EXAM 3 Questions and Answers with Verified Solutions | Latest Updated 2026

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MedSurg II - EXAM 3 Questions and Answers
with Verified Solutions | Latest Updated 2026



myocarditis inflammation of the myocardium



myocarditis - population young adults, children, infants, teenagers
common cause of sudden cardiac death


myocarditis - cause infection - usually viral
- coxsackie virus, adenovirus, HIV,
influenza
causes can be idiopathic or viral, rarely
autoimmune or toxins


myocarditis - CM vague and varied
often delayed, begin after infection
subsides
- fatigue
- dyspnea
- palpitations
- chest discomfort
- slight increase in cardiac
enzymes/proteins


myocarditis - dx myocaridal biopsy
cardiac MRI

,myocarditis - management supportive treatment
manage heart failure
steriods/NSAIDs not effective
heart transplant high risk rejection
pacemaker or ICD (rare)


acute infective endocarditis infection of the endocardium
usually affects the valves


acute infective endocarditis - bacteria (strep, staph, enterococci)
causes viruses
fungi
healthcare related
- implanted catheters
- cardiac cath
- prosthetic valve
community aquired
- IV drug use
- dental caries
- dental procedures
- immunosuppression


acute infective endocarditis - risks IV drug use - MOST COMMON
males
damaged valves - heart valve vegetation
reheumatic fever history


acute infective endocarditis - implanted catheters
healthcare related causes cardiac catheterization
prosthetic valve

, acute infective endocarditis - IV drug use
community aquired causes dental caries
dental procedures
immunosuppression


acute infective endocarditis - CM acute presentation
- onset within 1 week of infectino
subacute presentation
- may take up to four weeks


acute infective endocarditis - acute onset within 1 week of infection
presentation


acute infective endocarditis - may take up to 4 weeks
subacute presentation


acute infective endocarditis - S/S night sweats
weight loss
tachycardia
dysrhythmias
hypotension
hemodynamics
murmur
splenomegaly
petechiae
splinter hemorrhages
osler's nodes
janeway lesions
musculoskeletal complaints
systemic or pulmonary emboli
headache
mycotic (infected) aneurysms

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