Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
15 Cards in this Set
- Front
- Back
|
A Dx that produces vegetations on the Endo or on a Valve
|
Infective Endocarditis.
--associated with congenital heat dx |
|
|
Name the 5 Classfiications of InfEnd
|
Native Valve Endo
Endo in IV druggers Prosthetic Valve Endo Acute & Subacute - temporal evolution |
|
|
Which culture originates from the GI tract, from tumor, and causes InfEndo. Look for colon tumors/polyps
|
Strep bovis
|
|
|
Which cause of InfEndo comes from GU tract due to caths, TURP, abortions
|
Enterococci
|
|
|
With Druggers, on what valve/side of heart get infxn
Usual Culprit? Common Presentation |
Right Side. Tricuspid valve in 50% cases
--Staph A in 50-60% -----Septic Pneumonia & will commonly embolize!!! |
|
|
Prosthetic Valve infxn.
what bug? In 2 mos PS. 2-12 mos PS 1yr Post Surgery which valve most often |
-->2 mos =Coag Neg Staph & Staph A
2-12 mos, coag Neg Staph most common -1 yr past surgery=Viridans Aortic more than Mitral |
|
|
Physical Signs of Inf Endo:
1. Murmurs? 2. Spleen 3. Petechiae where? 4. Skin/Joints 5. Board Question Retinal Sign |
-New or Changing--Diastolic com
-Splenomegaly can be (liver uncommon, usualy HF) --may become infarcted -Petechia may be all over --Warm hot Joints/ may have Rheumatoid Factor Too ----Roth Spots--flame shaped with pale centers in Retina |
|
|
What sort of Nodes found in soles of feet/hand and pulp of finger tips
|
Osler's Nodes
-Inf Endo |
|
|
Non Tender Erythematous maculopapular lesions in pulps of fingers =
|
Janeway Lesions
|
|
|
Finger Nails may have What in Inf. Endo
|
--Linear Hemorrhages/Splinters
-----come with other DX too |
|
|
What are 3 most suspicous signs for Infections Endocarditis
---know this one |
Anemia
Fever Murmur |
|
|
Who gets prophylaxed for Inf Endo?
What procedures specifically |
Dental Work ON
1. Those with Prosthetic 2. Previous Endo 3. Transplant Recips 4. Congential Heart Defects |
|
|
What is deferverscence
|
Loss of fever due to Antiobiotic Tx/Recovery
3-7 days |
|
|
SHould Anti-coags be used to prevent emboli from vegs?
|
-NO. Only for Prosthetic Valves
|
|
|
With cure rate of 90% for Endocard, what might be causes for therapy failure?
|
CHF
Embolus Ruptured Aneurysm Renal Failure |
