1st Endocarditis

Question 1

What is the classic manifestation for infective endocarditis?

Answer 1

Vegetation (“veg”)

Question 2

If a vegetation is present on the MV which side would the veg be attached to?

Answer 2

Atrial side (AV atrial side, SL ventricle side)

Question 3

Name the two types of infective endocarditis

Answer 3

Subacute

Acute

Question 4

Which type of infective endocarditis is most likely to follow a dental procedure?

Answer 4

Subacute

Question 5

Name four risks that would require a patient to use a prophylactic antibiotic before a procedure?

Answer 5

Prosthetic heart valves
History of Infective endocarditis
Serious congenital anomalies
History of cardiac transplant with valvular problems

Question 6

Describe the appearance of the vegetation when seen on echo

Answer 6

Thickened, shaggy, oscillating mass with independent motion

Question 7

Does the absence of vegetation rule out the diagnosis of infective endocarditis?

Answer 7

No. Vegetation’s can take 2 weeks to manifest & can only be seen if >2mm on TTE

Question 8

A patient present with possible infective endocarditis and is an IV drug abuser. What valve would most likely be affected?

Answer 8

TV (60%). Also, Rt vegetations are larger

Question 9

What is the classic triad for infective endocarditis?

Answer 9

Fever
New/ Changed murmur
Positive blood cultures.

Question 10

What is an example of non-bacterial endocarditis & is commonly associated with Lupus?

Answer 10

Libman’s Sacks

Question 11

How does anorexia nervosa affect the heart?

Answer 11

Decreased muscle mass in LV