Endocarditis

Question 1

What is endocarditis?

Answer 1

Microorganisms that enter the bloodstream via dental work, IV drug abuse, surgery, etc)

Question 2

What disease is often associated with endocarditis?

Answer 2

Liban-sachs (systemic lupus erythematousus)

Question 3

Libman-sachs is also known as ?

Answer 3

systemic lupus erythematousus

Question 4

True or false- Endocarditis is Eosinophillic

Answer 4

True

Question 5

What is Marantic endocarditis?

Answer 5

Non bacterial endocarditis

Question 6

What’s a newer name for Marantic?

Answer 6

NBTE ( Non bacterial, thrombytic endocarditis)

Question 7

NBTE is often seen in patients with?

Answer 7

Metastatic disease

Question 8

What are the 2 most common bacteria’s associated with endocarditis?

Answer 8

• Strep and Staphylococcus

Question 9

True or false- low velocity jets increase risk for endocarditis?

Answer 9

False. It’s high velocity jets that increase the risk.

Question 10

Organisms like to feed on:
A) abnormal endocardical surfaces
B) Normal and Abnormal endolitheal surfaces
C) Normal and abnormal endocardical surfaces
D) Normal endocardical surfaces

Answer 10

C

Question 11

What 3 things to organisms like to feed on?

Answer 11

• abnormal valves
• prosthetic valves
• rough surfaces caused by regurgitation lesions

Question 12

Organisms attach to the ____ side of the flow

Answer 12

Flow

Question 13

IV drug abusers are at ____% risk for _____

Answer 13

75% for TV endocarditis

Question 14

What are 4 symptoms of endocarditis?

Answer 14

Fever
Anemia
Murmurs
Tachycardia

Question 15

Vegetations may embolize with what 3 things are there?

Answer 15

-if it’s mobile
-pedunculated
-> or equal to 5mm in size

Question 16

What size of a vegetation increases the risk of it becoming an embolus?

Answer 16

> or equal to 5mm

Question 17

Vegetations may be seen on m-mode when the valve is usually?

Answer 17

Closed

Question 18

What 2 things might occur to the leaflets?

Answer 18

Flail leaflet or disruption

Question 19

True or false- MV and/or AV preclosure may occur if there’s severe acute AR?

Answer 19

True

Question 20

True or false- prosthetic valves are at higher risk for endocarditis

Answer 20

True

Question 21

Vegetations may have ____ appearance

Answer 21

Shaggy

Question 22

Blood cultures are usually ___% positive

Answer 22

90%

Question 23

True or false- we can tell the difference between new and old vegetations

Answer 23

False

Question 24

True or false- valves with endocarditis usually have regurgitation lesions?

Answer 24

True

Question 25

A ring abscess may have a ______ flow pattern

Answer 25

Continuous

Question 26

What size does the vegetation have to at least be so we can see it on 2D echo?

Answer 26

3mm at least