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15 Cards in this Set
- Front
- Back
A Dx that produces vegetations on the Endo or on a Valve
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Infective Endocarditis.
--associated with congenital heat dx |
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Name the 5 Classfiications of InfEnd
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Native Valve Endo
Endo in IV druggers Prosthetic Valve Endo Acute & Subacute - temporal evolution |
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Which culture originates from the GI tract, from tumor, and causes InfEndo. Look for colon tumors/polyps
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Strep bovis
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Which cause of InfEndo comes from GU tract due to caths, TURP, abortions
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Enterococci
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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!!! |
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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 |
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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 |
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What sort of Nodes found in soles of feet/hand and pulp of finger tips
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Osler's Nodes
-Inf Endo |
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Non Tender Erythematous maculopapular lesions in pulps of fingers =
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Janeway Lesions
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Finger Nails may have What in Inf. Endo
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--Linear Hemorrhages/Splinters
-----come with other DX too |
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What are 3 most suspicous signs for Infections Endocarditis
---know this one |
Anemia
Fever Murmur |
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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 |
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What is deferverscence
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Loss of fever due to Antiobiotic Tx/Recovery
3-7 days |
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SHould Anti-coags be used to prevent emboli from vegs?
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-NO. Only for Prosthetic Valves
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With cure rate of 90% for Endocard, what might be causes for therapy failure?
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CHF
Embolus Ruptured Aneurysm Renal Failure |