Cardiac-Endocarditis Flashcards

1
Q

what bacteria is the over all most common cause of endocarditis?

A

strep viridans

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2
Q

what is the significance of strep viridans being a “low virulence” organism

A

it only infects previously damaged valves and will not destroy the valve

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3
Q

what is the most common cause of endocarditis in IV drug users

A

staph aureus

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4
Q

can staph aureus destroy the valves?

A

yes because it is high virculence

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5
Q

what valve is staph most likely to infect?

A

tricuspid

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6
Q

staph epidermidis is the most common cause of endocarditis in..?

A

prosthetic valves

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7
Q

if you have a patient that has endocarditis due to strep bovis, what are you worried about

A

underlying colorectal cancer

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8
Q

what are the HACEK organisms?

A
  1. haemophilus
  2. actinobacillus
  3. cardiobacterium
  4. eikenella
  5. kingella
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9
Q

what are the HACEK organisms associated with?

A

endocarditis with negative blood cultures

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10
Q

what is the following describing:

“erythematous nontender lesions on palms and soles seen in peeps with endocarditis”

A

janeway lesions

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11
Q

what is the following describing:

“TENDER lesions on fingers and toes seen in peeps with endocarditis”

A
osler nodes
(olser=OUCH..these are the painful lesions)
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12
Q
what are the anemic lab findings in a person with endocarditis:
Hb
MCV
ferritin
TIBC
serum iron
% sat
A
Hb- low
MCV-low
ferritin-high
TIBC-low
serum iron-low
% sat-low
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13
Q

when do nonbacterial thrombotic endocarditis due to sterile vegetations arise? (2). where do these vegetations arise

A

hypercoaguable state or underlying adenocarcinoma

vegetations arise along lines of closure and result in mitral regurg

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14
Q

if you see vegetations on BOTH sides of mitral valve causing mitral regurg, what type of endocarditis are you thinkin

A

libman sacks endocarditis due to SLE

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