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6 Cards in this Set
- Front
- Back
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Causes? |
Bacteraemia = Strep Viridans / Staph Aureus / Staph Epidermidis / Haemophilus
Fungi = Candida Other = SLE/ Malignancy |
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Clinical Features |
Septic Signs? = Fevers/ Rigors/ Night Sweats/ Weight Loss/ Clubbing / Splenomegaly
Cardiac signs? = ANY NEW MURMUR
Immune complex deposition = Microscopic haematuria / AKI/ ROTH spots/ Splinter haemorrhages
Embolic Phenomena = Osler's Nodes/ Janeway lesions |
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Diagnostic Criteria? |
DUKE DUKE DUKE 2 Major + 1 Minor OR 1 Major + 3 Minor or 5 Minor Major = Positive blood culture / Involvement of Endocardium Minor= Fever / Predisposition (IVDU/Prosthetic valve)
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Investigations |
Blood Culture Echocardiogram ECG = > PR interval |
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Management |
Blind + Normal Valve = Amoxicilin + Gentamicin Blind + Prosthetic Valve = Rifampicin + Gentamicin + Vancyomycin
Staph + Native = Flucloxacillin Staph + Prosthetic = Rifampicin + Gentamicin + Flucloxacillin
Strep = Benzylpenicllin + Gentamicin Enterococci = Amoxicillin + Gentamicin |
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When to consider surgery? |
Heart Failure Valvcular obstruction Repeated emboli Fungal endocarditis Persistent bacteraemia |
