Internal Medicine

0521779407-22 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:23

1514 Valvular Injury Varicella-Zoster

Symptoms & Signs

■New heart murmur following trauma

■Pulmonary congestion

■Hypotension

■Signs of right ventricular failure

tests

■Echo/Doppler – detect valvular abnormality and severity

differential diagnosis

n/a

management

(see Valvular heart disease)

specific therapy

n/a

follow-up

n/a

complications and prognosis

■In general, prognosis for cardiac trauma depends on the severity of

injury, early detection and initiation of effective treatment (which

often includes emergency surgery)

■Myocardial contusion – prognosis worst with presence of CAD and

arrhythmias

VARICELLA-ZOSTER

CAROL A. GLASER, MD

history & physical

History

■Varicella – zoster virus (herpesvirus 3)

■Late winter, early spring

■Common childhood disease

■Human host only

■Person to person contact, or droplet or airborne spread of vesicle

fluid

■Chickenpox

■Highly contagious, zoster – much less contagious