Cardiology ID Flashcards

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1
Q

Most common acute endocarditis bug?

A

Staph aureus via bacteremia

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2
Q

Most common subacute endocarditis bug?

A

Viridans strep group.

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3
Q

Most common valve (subacute endocarditis, general population)?

A

Mitral valve

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4
Q

Most common valve w/ IVDU endocarditis?

A

Tricuspid valve

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5
Q

What does the murmur of IVDU endocarditis sound like?

A

holosytolic murmur Worse w/ inspiration.

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6
Q

Most common bug w/ IVDU endocarditis?

A

Staph Aureus

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7
Q

Most common bug w/ prosthetic valve?

A

s. epidermis

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8
Q

Most common bug w/ colon cancer or IBD?

A

S. bovis, s. gallolyticus.

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9
Q

What do you if you find strep bovis?

A

Colonoscopy

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10
Q

Dx of endocarditis?

A

Blood cx, TTE, then TEE. Evaluate Major and Minor criteria.

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11
Q

Treatment of staph aureus endocarditis?

A

Nafcillin + gent, or vanc

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12
Q

Treatment of viridans endocarditis?

A

4-6weeks penicillin.

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13
Q

Who needs endocarditis prophylaxis?

A

Prosthetic value, history of endocarditis, or uncorrected congenital lesion.

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14
Q

What is liebman-sacks endocarditis?

A

vegetations on both sides of mitral valve. Lupus.

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15
Q

What else can cause endocarditis?

A

malignancy, hypercoagulable state, lupus. (marantic/thrombotic endocarditis).

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16
Q

Infectious causes of culture negative endocarditis?

A

Coxiella, Bartonella, HACEK (hemophilus, actinobacillus, cardiobacterium, eikenella, kingella).

17
Q

Bacteria FROM JANE?

A

Fever, Roth Spots, Osler Nodes (tender lesions on fingers/toes), Murmur. Janeway lesions, Anemia (microcytic), Nail-bed hemorrhage, Emboli.