[19] Inflammatory Heart Diseases

Question 1

Does Kawasaki’s Disease Present w/ Purulence?

Answer 1

No, so don’t give Tobramycin

Question 2

First Management of Kawasaki’s Disease

Answer 2

High Dose Aspirin (80mg/kg/day)

Intravenous Immunoglobulin

Question 3

Why is Methylprednisolone not a first line of management of Kawasaki’s Disease?

Answer 3

It’s not ethical anymore because intravenous Ig has already been proven to work

Question 4

Advantage of using Methylprednisolone over IV Ig?

Answer 4

Only costs 12,000 PHP for the course

Question 5

Manifestations of Infective Endocarditis

Answer 5

Prolonged Fever
Splenomegaly
Heart Failure
Anemia
Hematuria

Question 6

Why does Infective Endocarditis cause Anemia and Hematuria?

Answer 6

Abrasion of RBCs when they get passed

Question 7

Major Criteria of the Modified Duke Criteria

Answer 7

Positive Blood Culture

Evidence of Endocardial Involvement

Question 8

Prophylaxis for Infective Endocarditis is only recommended for?

Answer 8

1. Unrepaired Cyanotic Heart Disease
2. Within 6 months after repair with prosthetic material or device
3. Residual defect near a prosthetic patch or device
4. With prosthetic valves
5. With prior history of IE

Question 9

Define: Pericarditis

Answer 9

Inflammation of the pericardium

Question 10

Management for Pericarditis

Answer 10

Pericardiocentesis

Pericardiostomy

Question 11

Myocardiac Cardiomyopathy vs. Athlete’s Heart

Answer 11

You can die when you do sports with MCM

Unusual LVH
LV Cavity < 45mm
LA Enlargement
Family History of HCM