Endocarditis

Question 1

Endocarditis meaning ?

Answer 1

Inflammation of the endocardium

pathoma-81

Question 2

Organisms of endocarditis ?

HACEK

Answer 2

1. H=Haemophilus
2. A=Actinobacillus
3. C=Cardiobacterium
4. E=Eikenella
5. K=Kingella

82 Pathoma

Question 2

Causes of endocarditis ?

Answer 2

Streptococcus viridins

Question 3

Damaged endocardial surface fate—

Answer 3

Thrombotic vegetations (Platelate + Fibrin )

Question 3

IV drug users endocarditis cause ?

Answer 3

Staphylococcus aureus

Question 4

Endocarditis in Colorectal carcinoma ?

Answer 4

Strep Bovis

Question 5

Endocarditis of prosthetic valve —-

Answer 5

Staphylococcus epidermidis

Question 6

Clinical features of endocarditis ?

Answer 6

1. Fever=Due to bacteremia
2. Murmur=Due to vegetation
3. Janeway lesions
4. Osler nodes
5. Splinter hemorrhage -nail bed
6. Roth spots
7. Anemia-Chronic inflammation

Question 7

Lab findings in endocarditis ?

Answer 7

1. • Blood culture
2. Anemia of chronic disease
3. dec Hb
4. dec MCV
5. dec TIBC
6. dec serum Fe
7. dec % saturation
8. INC Ferritin
9. Transesophageal echocardiogram- detect lesions on valve

Question 7

Osler nodes ?

Answer 7

Tender lesions on fingers and toes

Question 7

Janeway lesions ?

Answer 7

Erythematous nontender lesions on palms and soles

Question 8

Most effected valve in endocarditis ?

Answer 8

Tricuspid

Question 9

Non bacterial thrombotic endocarditis cause ?

Answer 9

1. Hypercoagulable state
2. Adenocarcinoma
3. Mitral regurg

Question 10

Sterile vegetations + SLE = ???

Answer 10

Libman-Sacks endocarditis

Question 11

Vegetations site & result ?

Answer 11

-Mitral valve
-Mitral regurgitation