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19 Cards in this Set
- Front
- Back
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5 prereqs
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Bacteremia
Turbulent blood flow Fibrin-platelet aggregrates on endocardium Adherance of organism Colonization |
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Local response
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Innate - innefective
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Systemic response
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Adaptive - innefective
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Organism
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Gram + cocci
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Coag (-) staph
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Prosthetic valves
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Gram negative
Pseudomonas |
IV Drug use
Water Right sided |
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Host
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Rheumatic heart disease - classic
Other heart defects |
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Non-specific signs
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Fever, tachycardia, toxic
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Specific symptoms
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SOB, chest pain, orthopnea, pulmonary edema, edema, palpatations
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Specific signs
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Murmur, edema, JVD, tender liver
Major embolism Tiny embolism |
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Diagnosis
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Persistently positive blood cultures*
Echocardiograph |
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Course of illness
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Death preantibiotics
Transesophageal best |
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Course of illness
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Very serious but can be cured now
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Treatment
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Cidal antibiotics
IV |
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Which organisms always require 2 drugs?
Which drugs? |
Enterococcus and Pseudomonas
Aminoglycoside and beta-lactam |
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Duration of treatment
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4-6 weeks
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Surgery
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When antibiotics not effective
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Prophylaxis
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Some patients
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Nosocomial endocarditis
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IV catheters
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