Cardiovascular infections

Question 1

Endocarditis indications for surgery?

Answer 1

> 10mm, >1 embolic event, valve insufficiency, perivalvular abscess, heart block, CHF

Question 2

Major Duke Criteria?

Answer 2

typical organism, repeatedly positive cultures, positive ECHO

Question 3

Minor Duke Criteria?

Answer 3

predisposing condition, fever, vascular emboli, immunologic sequelae

Question 4

osler nodes description?

Answer 4

painful, red, on fingers

Question 5

Janeway lesion description?

Answer 5

non tender, hemorrhage like, palms and soles

Question 6

Native valve MSSA tx?

Answer 6

Ancef q8 4-6 wks

Question 7

Native valve MRSA tx?

Answer 7

Vanc q12

Question 8

Native Valve HACEK tx?

Answer 8

Unasyn

Question 9

HACEK organisms?

Answer 9

Haemophilus, Actinobacillus, CArdiobacterium, Eikenella, Kingella. Likely culture negative

Question 10

NAtive Valve Enterococcus tx?

Answer 10

Penicillin and gentamicin

Question 11

Native valve Bartonella tx?

Answer 11

Doxycycline and gentamicin

Question 12

Native Valve strep Pyogenes?

Answer 12

Pen G or Rocephin

Question 13

Prosthetic valve Staph tx?

Answer 13

Rifampin, Gent, staph coverage based on culture

Question 14

Prosthetic Valve strep viridans tx?

Answer 14

Pen G or Rocephin and if resistance add Gentamicin

Question 15

Prosthetic valve enterococcus tx?

Answer 15

Ampicillin plus gent

Question 16

Prosthetic Valve VRE tx?

Answer 16

Linezolid

Question 17

Prosthetic Valve HACEK tx?

Answer 17

Rocephin or Unasyn or Cipro

Question 18

how long to hold AC after CNS emboli with prosthetic valve?

Answer 18

2 weeks

Question 19

complications of infected device removal?

Answer 19

hemothorax, tamponade