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2008 - Communication Across the Curriculum (CAC)

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Figure 2. This picture shows <strong>the</strong> difference<br />

between a normal heart (left) and one with<br />

left hypertrophy (right).<br />

R e s e a r c h P a p e r<br />

muscle mass, but <strong>the</strong> blood<br />

pumping remains <strong>the</strong> same<br />

(Montoya 233). Besides <strong>the</strong><br />

lymph nodes and heart, <strong>the</strong><br />

parasite can infect <strong>the</strong> liver,<br />

spleen, and bone marrow,<br />

causing megalias and<br />

anemia. The parasite can<br />

also invade <strong>the</strong> lungs and<br />

sometimes it can produce<br />

meningoencephalitis which<br />

http://images.google.com/<br />

is a condition that is marked<br />

by <strong>the</strong> brain and meninges becoming inflamed (Restrepo et al<br />

607).<br />

Most of <strong>the</strong> patients survive <strong>the</strong> acute phase, enter <strong>the</strong><br />

asymptomatic or latent phase, and <strong>the</strong>n <strong>the</strong> infection becomes<br />

chronic. It’s known that in <strong>the</strong> chronic phase 30% of <strong>the</strong> patients<br />

have cardiac damage. The principal clinic manifestation is<br />

myocarditis, which can be asymptomatic for a long period<br />

of time. Progressively, congestive cardiac insufficiency is<br />

developed. Due to <strong>the</strong> cardiomegalia, <strong>the</strong> left ventricule<br />

hypertrophies and <strong>the</strong> A-V<br />

is blocked (Figure 3). There<br />

have been 4 periods of<br />

cardiopathy established for<br />

this disease. The first one<br />

has a positive serology,<br />

but doesn’t have clinical<br />

or electrocardiographic<br />

Figure 3. Shows <strong>the</strong> difference between a evidence.<br />

patient with a (a)normal and (b) an altered<br />

EKG due to hypertrophy of left ventricle and The second one has<br />

blocked A-V.<br />

low symptomatology and<br />

few electrocardiographic<br />

http://www.scienceclarified.com/<br />

alterations. The third one<br />

has a strong symptomathology, moderate cardiomegalia, and<br />

electrocardiographic changes. The fourth one has an advanced<br />

symptomatology, cardiac insufficiency, advanced cardiomegalia,<br />

and several electrocardiographic alterations (Bastien 203).<br />

V o l u m e I V : F a l l 2 0 0 8<br />

1 2

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