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Pathophysiology
Infective endocarditis occurs when turbulence within the heart allows causative organism to infect previously damaged valves or other endothelial surfaces.
Vegetations consisting of fibrin, leukosytes, platelets and microbes adhere to the valve surface or endocardium. The loss of portions of the friable vegetations into the circulation result in embolization. Infection spread to heart valves leads to valvular incompetence, CHF, generalized myocardial dysfunction and sepsis.
Counseling is a process whereby a qualified person purposefully assists another person to handle his or her problems. Counselling is not just giving advice. It is dependent on mut
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Sodium-potassium pump A. The net flux of sodium is from a region of high sodium concentration to a region of low sodium concentration. B. The net flux of potassium is from a
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