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Pathology

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CVS

Question
17 out of 17
 

which of the following is the feature of vegetations in Libmann Sacks endocarditis? (AIPG 2011)



A Large and fragile

B Small warty along the line of closure of valve

C Small or medium sized on either or both sides of valve

D Small bland vegetations

Ans. C Small or medium sized on either or both sides of valve

Summary of salient feafures of vegetations in different endocarditis

Rheumatic Fever

Non Bacterial Thrombotic

(Marantic Endocarditis)

Libman Sack's Endocarditis

lnfective Endocarditis

Small, warty

Firm

Friable

. Small, warty

. Friable

Medium sized (small)

. Flat, Verrucous

. lrregular

Large

. Bulky

. lrregular

Along lines of closure

. Along lines of closure

On surface of cusps

. (both surfaces may be involved

but the under-surface is more

likely affected, less commonly

mural endocardium is involved)

. ln pockets of valves

Vegetations on the valrc

cusps

. Less often on mural

endocardium

Sterile (no organism)

Sterile

Sterile

Non-sterile (bacteria)

Embolisation is

uncommon

Embolisation is common

Embolisation is uncommon

Embolisation is very

common (max chances)

ln rheumatic heart disease

ln cancers (like M3-AML, . ln SLE

pancreatic cancer), deep vein

thrombosis, Trosseau syndrome

In SLE

ln infective endocardE

CVS Flashcard List

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