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10 Cards in this Set
- Front
- Back
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What are the types of endocarditis?
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Classify- with Valves (native and prosthetic), How it happens (acute, subacute), also different for IV drug users)
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What is the clinical criteria for diagnosis of infectious endocarditis?
What are major and minor criteria? |
2 major criteria or 1 major and 3 minor criteria or 5 minor criteria
Major- 1. positive blood culture 2. evidence of endocardial involvement- a. oscillating mass on valve, abscess, new partial dehiscence of prosthetic vlave (echo) b. new valvular regurg. Minor: 1. predisposition to heart problems 2. fever 38 3. vascular phenomena 4. immunologic phenomena 5. microbiologic evidence 6. echocardiogram- not meeting major criteria |
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If drug user has endocarditis what characteristics are most common?
a. pathogen b. valve involved c. bad things |
a. mostly staph aureus
b. acute onset tricuspid (right side) c. pulmonary lines |
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In general with prosthetic valve endocarditis which pathogens cause aortic or mtiral valve
a. arising within 2 months after valve surgery b. 2-12 months after valve surgery c. after one year after valve surgery |
1. coag. neg staph and staph aureus
2. coag neg staph 3. strep viridins |
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a. What are flamed shaped hemorrhagic pale centers in retina, see in connective tissue and serve anemia also mean?
b. tender, painful erythematous or purple lesions see in endocarditis patient c. non-tender, subacute erythematous maculopapular lesions on pulps of fingers |
a. Roth spots- often caused by endocarditis
b. osler nodes c. janeway lesion |
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What are some symptoms other than "nothing" that someone may show with Infectious disease?
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a. fever
b. weakness c. night sweats d. arthralgias e. embolic- may cause many other pain, infections, death f. heart failure- myocarditis |
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1. If you were to label 3 most common clinical and lab manifestations of IE what would they be?
2. What three main things that endocarditis prophylaxis is advised |
fever, anemia, murmur
2. i. prosthetic heart valves ii. prior bacterial endocarditis iii. cyanotic congenital heart disease |
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What is preferred image of choice to make sure valve is not infected?
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TEE transesophageal echocardiagram
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What other things will be in differential diagnosis of IE?
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1. acute rheumatoid fever with Carditis
2. Renal Failure 3. Rupture of mycotic aneurysm 4. Rupture of chordae tendae- acute valvular insufficiency |
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What is the procedure for prophylaxis for prevention of IE?
a. before an upper respiratory/dental procedure b. before a GU/GI procedure |
A.
1. amoxicillin- 2 grams befor or 2. Clindamycin 600 mg 1 hr before allergy use vancomycin 1 gram IV B. amp/genticillin 30 min before and 6 hrs later or amoxicillin 1.5 grams |
