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cardiovascular disease nd edntal considerations
1. DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY Guided By: DR. NEELKAMAL DR. VERMA Submitted By: Nishtha Singhal (45) Nidhi Nagar (46) Neha Sachdeva (47) Pallavi Singh (48) BDS Final Year Batch 2005-06
19. Acute macroglossia: the tongue is diffusely enlarged and bright red along its lateral portion. The patient had bleeding into the tongue while on anticoagulants. Acute macroglossia due to Enalapril: this 75-year-old Black female developed acute swelling of tongue and lips after being on enalapril for 2 days. She was unable to talk or swallow (upper photo). In lower photo, 2 days after stopping enalapril, the tongue and lips have returned to their normal size. EXAMINATION OF MOUTH
20. GUM HYPERPLASIA DUE TO DILANTIN. SIMILAR FINDINGS MAY BE SEEN IN PATIENTS ON NIFEDIPINE TANGIER DISEASE OF THE TONSILS: THE TONSILS ARE ENLARGED WITH BRIGHT ORANGE YELLOW STREAKS (“TIGER STRIPES”) (PREMATURE CAD).
21. EXAMINATION OF EAR: PRESENCE OF CREASE IN THE PINNA OF THE EAR- ASSOCIATED WITH INCREASED INCIDENCE OF CORONARY ARTERY DISEASE.
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24. OSLERS NODE IN ENDOCARDITIS SUBUNGAL HAEMORRHAGES JANEWAY LESIONS
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26. NYHA CLASSIFIACTION FUNCTIONAL CAPACITY OBJECTIVE ASSESSMENT CLASS I . PATIENTS WITH CARDIAC DISEASE BUT WITHOUT RESULTING LIMITATION OF PHYSICAL ACTIVITY. ORDINARY PHYSICAL ACTIVITY DOES NOT CAUSE UNDUE FATIGUE, PALPITATION, DYSPNEA, OR ANGINAL PAIN. A. NO OBJECTIVE EVIDENCE OF CARDIOVASCULAR DISEASE. CLASS II. PATIENTS WITH CARDIAC DISEASE RESULTING IN SLIGHT LIMITATION OF PHYSICAL ACTIVITY. THEY ARE COMFORTABLE AT REST. ORDINARY PHYSICAL ACTIVITY RESULTS IN FATIGUE, PALPITATION, DYSPNEA, OR ANGINAL PAIN. B. OBJECTIVE EVIDENCE OF MINIMAL CARDIOVASCULAR DISEASE. CLASS III. PATIENTS WITH CARDIAC DISEASE RESULTING IN MARKED LIMITATION OF PHYSICAL ACTIVITY. THEY ARE COMFORTABLE AT REST. LESS THAN ORDINARY ACTIVITY CAUSES FATIGUE, PALPITATION, DYSPNEA, OR ANGINAL PAIN. C. OBJECTIVE EVIDENCE OF MODERATELY SEVERE CARDIOVASCULAR DISEASE. CLASS IV. PATIENTS WITH CARDIAC DISEASE RESULTING IN INABILITY TO CARRY ON ANY PHYSICAL ACTIVITY WITHOUT DISCOMFORT. SYMPTOMS OF HEART FAILURE OR THE ANGINAL SYNDROME MAY BE PRESENT EVEN AT REST. IF ANY PHYSICAL ACTIVITY IS UNDERTAKEN, DISCOMFORT IS INCREASED. D. OBJECTIVE EVIDENCE OF SEVERE CARDIOVASCULAR DISEASE.
71. Rheumatic fever is an inflammatory disease that may develop two to three weeks after a Group A streptococcal infection (such as strep throat or scarlet fever ). It is believed to be caused by antibody cross-reactivity and can involve the heart , joints , skin , and B rain Acute rheumatic fever commonly appears in children ages 5 through 15, with only 20% of first time attacks occurring in adults
