Term
1. blood culture x 2 from 2 different sites
2. then start empiric antibiotics immediately/ |
|
Definition
| If you suspect endocarditis from a history what is the next step ? |
|
|
Term
Acute: aureus, pyogenes, pneumo, gonorrhaeae
subactue: viridans strep |
|
Definition
| Acute endocarditis Bacteria vs. Subacute |
|
|
Term
acute: death < 6 weeks
subactue: death 6 wk - 3 mo
chronic; death >3 mo |
|
Definition
| Course of disease difference between acute, subacute, and chronic endocarditis |
|
|
Term
| high fever, systemic toxicity, leukocytosis |
|
Definition
|
|
Term
slow, indolent course
Prior valvular disease |
|
Definition
|
|
Term
| Low grade fever, night sweats, wt. loss |
|
Definition
|
|
Term
|
Definition
| Valves from increasing rate of infection with endocarditits |
|
|
Term
1. 2 major
2. 1 major + 3 minor
3. 5 minor |
|
Definition
| What Duke criteria is needed for Dx: |
|
|
Term
1. + blood cultures __> 2 different blood cultures
2. Echocardiogram evidence |
|
Definition
|
|
Term
|
Definition
| worsening or changing of preexisting murmur is _______for DUKE criteria of endocarditis. |
|
|
Term
1. predisposition
2. IV drug use
3. FV or temp >38 C
4. vascular phenomena
5. immunological phenomena
6. Microbio evidence- (1 positive culture ) |
|
Definition
|
|
Term
Atrial- AV
Ventricular- Semilunar |
|
Definition
| On what surface does pathologic changes occur on AV/Semilunar valves |
|
|
Term
|
Definition
| What side of the heart will an IV drug user have endocarditis |
|
|
Term
|
Definition
| Petechia/conjunctival hemorrhages are indicative of what sided heart endocarditis |
|
|
Term
Abcess
Infarction
Glomerulonephritis |
|
Definition
| IF you get an embolus from the mass of bacterial endocarditis to the kidney you can get |
|
|
Term
| stroke, surgery immediately |
|
Definition
|
|
Term
IV drug users
OR CATHETER (both right sided heart begetation) |
|
Definition
| Emboli to lungs are from what |
|
|
Term
TEE- high patient risk (prosthetic, Congenetal Heart disease, previous endocarditis, new murmur, heart failure)
TTE- small children |
|
Definition
|
|
Term
| AV replacement with aortic repair. If the mass is big antibiotic probably won't clean it up. |
|
Definition
| If a patient has a mechanical valve with severe regurgitiation and + vegetation what do you do: |
|
|
Term
|
Definition
| What antibiotic is used when vancomycin can't be for staph |
|
|
Term
|
Definition
| Native valve endocarditis (top two) |
|
|
Term
|
Definition
| IV drug user what are you worried about |
|
|
Term
pts w/unifixed structural heart disease or previous IE
do not use for mitral valve w/ or without murmurs |
|
Definition
| When to use prophylaxis in pts |
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|
