Signs of domestic violence in the emergency department are: 1. Marks or wounds on the body: they are evidence of physical attacks against the victim, usually the pacients lie about their origin. 2. Hostile or violent attitude towards health personnel: it occurs because of the abuse that they are subjected to. 3. Sense of guilt: during the interrogation they are usually blamed for the facts that involve the violent act. 4. Low weight: loss of appetite of the victim or deprivation of food by the offender. 5. Distraction: the victim focuses so much on his problem that he does not pay attention to external stimuli. 6. Costing nervousness: they lose control easily if an unexpected situation arises before them.
The key teaching point regarding the disruption to the normal flow of blood through the heart due to mitral stenosis
is - increased resistance of a narrowed orifice between the left atrium and the left ventricle
<h3>What is Mitral stenosis ?</h3>
Mitral stenosis is the narrowing of the mitral valve, which controls blood flow from the left atrium of the heart to the left ventricle. The left ventricle is your heart's main pumping chamber.
- The most common cause of mitral stenosis is rheumatic fever, a side effect of strep throat. The scarring from this illness may cause the mitral valve to narrow.
- Blood-thinning anticoagulants that aid in preventing blood clots To slow your heart rate and increase the effectiveness of your heart's filling, try beta blockers, calcium channel blockers, or digitalis glycosides. anti-arrhythmic drugs to treat atrial fibrillation or other irregular heartbeats caused by mitral valve stenosis.
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