Internal Medicine

0521779407-14 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:16

Mitral Valve Prolapse Molluscum Contagiosum 997

➣Antibiotic prophylaxis

MR present on exam or echo

No antibiotic prophylaxis for click and prolapse only

➣Palpitations and chest pain syndrome (r/o CAD)

Beta-blocker therapy – variable results

specific therapy

n/a

follow-up

n/a

complications and prognosis

Complications

■Endocarditis

■Stroke

■Progressive MR

Prognosis

■Systolic click only – excellent prognosis

■10% progress to significant MR (usually men and older patients)

➣Obtain echo/Doppler every 1–2 years to assess severity of MR

and left ventricular function

➣Consider mitral valve surgery if MR moderate/severe – see sec-

tion on MR

MOLLUSCUM CONTAGIOSUM

JEFFREY P. CALLEN, MD

history & physical

History

■Asymptomatic

■Facial and truncal lesions are common in children.

■Genital lesions are common in adults and are transmitted by direct

contact with an infected individual.

■Facial lesions in adults are associated with immunosuppressed state.

Signs & Symptoms

■Flesh-colored or slight pink globose papules with a central dell

■Lesions may be single or may coalesce.