CVS INFECTIONS Flashcards

1
Q

Front

A

Back

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2
Q

What is the cardiovascular system composed of?

A

The heart, blood, and blood vessels.

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3
Q

What are the layers of the heart wall?

A

Epicardium (visceral pericardium), myocardium (muscle layer), and endocardium (inner layer).

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4
Q

What is myocarditis?

A

Inflammation of the myocardium, often associated with viral infection and lymphocyte infiltration.

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5
Q

What are common viruses causing myocarditis?

A

Coxsackie B3 and B5, adenoviruses, herpes viruses, Epstein-Barr virus, cytomegalovirus, parvovirus B19, HIV, SARS-CoV-2.

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6
Q

What bacteria and fungi can cause myocarditis?

A

Brucella species, Haemophilus influenzae, Corynebacterium diphtheriae, Borrelia burgdorferi, and Aspergillus species.

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7
Q

What is the treatment for myocarditis?

A

Management of heart failure; prognosis depends on symptom duration.

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8
Q

What is acute pericarditis?

A

Inflammation of the pericardium caused by infections (e.g., Coxsackievirus, tuberculosis) or non-infectious factors (e.g., trauma, uraemia).

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9
Q

What is infective endocarditis?

A

Microbial infection of heart valves or endocardium, often forming vegetations on valves.

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10
Q

What are common causes of infective endocarditis?

A

Viridans Streptococci, Staphylococcus aureus, coagulase-negative Staphylococci, Enterococci, HACEK group bacteria, and fungi like Candida.

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11
Q

What is the pathogenesis of infective endocarditis?

A

Requires valve damage, turbulent blood flow, fibrin/platelet deposition, and seeding of bacteria from bacteremia.

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12
Q

What are the Duke criteria for diagnosing infective endocarditis?

A

2 major criteria, 1 major and 3 minor criteria, or 5 minor criteria.

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13
Q

What are complications of infective endocarditis?

A

Heart failure, perivalvular abscess, stroke, embolism, and mycotic aneurysms.

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14
Q

What is the treatment principle for infective endocarditis?

A

Bactericidal intravenous antibiotics for 4-6 weeks, surgery if necessary.

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15
Q

What is Lemierre’s syndrome?

A

Septic thrombophlebitis of the internal jugular vein, usually caused by Fusobacterium necrophorum.

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16
Q

What is rheumatic fever?

A

An immune-mediated post-streptococcal sequela causing damage to the heart, associated with M protein cross-reactivity.

17
Q

What is Chagas disease?

A

A condition caused by Trypanosoma cruzi transmitted by the reduviid bug, leading to chronic cardiomyopathy.

18
Q

What is endomyocardial fibrosis (EMF)?

A

A tropical disease causing endocardial fibrosis, often associated with eosinophilia and helminth infections.

19
Q

What is cardiovascular syphilis?

A

A tertiary stage of syphilis causing aortitis, aortic root dilation, and aortic valve insufficiency.

20
Q

What are the clinical features of subacute infective endocarditis?

A

Fatigue, fever, weight loss, and peripheral signs like splinter hemorrhages and Osler’s nodes.

21
Q

What is the characteristic peripheral manifestation of acute infective endocarditis?

A

Janeway lesions caused by embolic phenomena.

22
Q

What are Roth spots?

A

White-centered retinal hemorrhages, seen in infective endocarditis and other conditions.

23
Q

What organisms are in the HACEK group?

A

Haemophilus aphrophilus, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, Kingella kingae.

24
Q

What is the best method to diagnose infective endocarditis?

A

Blood cultures and echocardiography.

25
Q

What are the indications for surgery in infective endocarditis?

A

Persistent bacteremia, recurrent embolism, severe valvular dysfunction, myocardial abscess, or fungal infection.

26
Q

What are mycotic aneurysms?

A

Aneurysms caused by infection of the arterial wall, often a complication of infective endocarditis.

27
Q

What is septic thrombophlebitis?

A

Infection of a vein with thrombosis, caused by indwelling catheters, postpartum infections, or Fusobacterium species.