<prompt> Which of the following isare the characteristics of the vegetations seen in patients with Libmann Sacks endocarditis?Medium sizedIrregular contourPresent on the surface of cusps of heart valvesAll the above  <response>: Ans. is d i.e., All the above The affection of different valves in different conditions are as follows:VegetationsRheumatic FeverNon Bacterial ThromboticLibman SacksEndocarditis SLEInfective EndocarditisMarantic Small, warty- Firm- Friable but less than those of NBTE Small Friable produce emboli- Medim sized small- Flat, verrucous- Irregular- Large- Bulky- Irregular Along lines of closure Along lines of closure On surface of cusps both surfaces may be involved most common being the undersurface less often on mural endocardium On upper sur faces of Cusps Less often on mural Endocardium Sterile No organism Sterile Sterile Non-sterile bacteria No destruction of underlying valves or myocardium Non destructive Destructive may damage valve or myocardium Ulcerates or perforates underlying valve myocardium Seen in Rheumatic fever Seen in hypercoagulable states eg cancer, promyelocytic leukemia increased estogenic state Seen in SLE Seen in infective endocarditis 