![]() A history of endocarditis also increases the risk of infection. ![]() Certain medical conditions, such as rheumatic fever or infection, can damage or scar one or more of the heart valves, increasing the risk of infection. Germs are more likely to attach to an artificial (prosthetic) heart valve than to a regular heart valve. Endocarditis occurs most often in adults over age 60. However, endocarditis may occur in those without heart valve problems. Having a faulty, diseased or damaged heart valve increases the risk of the condition. Many different things can cause germs to get into the bloodstream and lead to endocarditis. The heart valves, which keep blood flowing in the right direction, are gates at the chamber openings (for the tricuspid and mitral valves) and exits (for the pulmonary and aortic valves). The lower chambers - the right and left ventricles - pump blood out of your heart. The upper chambers - the right and left atria - receive incoming blood. These symptoms may mean the infection is getting worse:Ī typical heart has two upper and two lower chambers. If you've been diagnosed with endocarditis and have any of the following symptoms, tell your care provider. A proper evaluation by a health care provider is needed to make the diagnosis. Less serious conditions may cause similar signs and symptoms. If you have symptoms of endocarditis, see your health care provider as soon as possible - especially if you have a congenital heart defect or history of endocarditis. Tiny purple, red or brown round spots on the skin (petechiae), in the whites of the eyes or inside the mouth.Painful red or purple bumps or patches of darkened skin (hyperpigmented) on the tips of the fingers or toes (Osler nodes).Painless red, purple or brown flat spots on the soles bottom of the feet or the palms of the hands (Janeway lesions).Tenderness under the left rib cage (spleen).Less common endocarditis symptoms can include: A new or changed whooshing sound in the heart (murmur).Flu-like symptoms, such as fever and chills.It depends on the type of germs causing the infection and whether there are other heart problems. Endocarditis may develop slowly or suddenly. It can also mean to join a game of cards, particularly poker.Symptoms of endocarditis can vary from person to person. It can also mean to interrupt and join a conversation. "Cut in" means to replace another person in a dance. This is now old fashioned, but consider Kipling's "Smuggler's Song: "*If your mother mends a coat, all cut about and torn If the lining's wet and worn, don't you ask no more." On second thought, this is an adjectival phrase, not a verbal noun, but I will leave it in because the form is the same. "Cut about" can mean slashed or damaged, similar to some senses of "cut up". "Cut back" or "cut back on" means "reduce" it is petty much interchangeable with the "reduce" sense of "cut down (on)". For example: "Jane really cut Mark down when she scolded him for missing the deadline." "Cut down" can also refer to felling a tree, as in "We had to cut down the oak it was ready to fall." ![]() For example "Sarah wore a dress that has been cut down from one made for Judy." Or "The X67 compact was cut down from a larger design." "Cut down" can also mean to humiliate or belittle. It can also mean to reduce the size of something. ![]() This use is most often found with "cut down on". "Cut down" can mean "reduced use of" as in "My company has decided to cut down on travel expenses. It can also mean "superficially injured" as in "After the fight, his face was was bruised and cut up." Tt can also mean emotionally distraught, as in "After Judy died, Jim was terribly cut up." ![]() For example "To make a stir-fry one must first cut-up the meat". "Cut up" often means "divided into many pieces". It also means to interrupt someone who is speaking. "Cut off" means to separate one thing from another, either literally as in "cut off a hand" or metaphorically as in "He is cut off from his family." It can also mean "separated" as in "The island is cut off from the peninsula by a strait two miles wide." "Cut off"also means to move quickly and often unsafely in front of soemoen else, often in an automobile. ![]()
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