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This Concept Map, created with IHMC CmapTools, has information related to: Maria Perez, mitral valve regurgitation decreases forward stroke volume, bloodstream causes mitral valve vegetation (valvular biofilm), Maria Perez 36 y.o. Latina presents with dyspnea on exertion, total blood volume exacerbates pulmonary hypertension, backflow into left atrium increases left atrial end-systolic volume, left ventricular end-systolic volume rapidly fills due to increased left atrial end-diastolic volume, tissue oxygenation manifests as dyspnea on exertion, Cell wall synthesis prevent growth of viridans group, viridans group causes bacteremia, Maria Perez 36 y.o. Latina presents with systolic murmur, poor dental hygiene forms biofilm as dental plaque, Maria Perez 36 y.o. Latina prescribed furosemide, pulmonary edema results in Decreased oxygen exchange, gentamicin inhibits transcription of bacterial mRNA, left atrial pressure increases preload, mitral valve regurgitation heard as systolic murmur, transcription of bacterial mRNA killing viridans group, Decreased oxygen exchange decreases tissue oxygenation, furosemide reduces total blood volume, relative cardiac output decreased tissue perfusion