Endocarditis

Question 1

Can you explain to me the risk factors for endocarditis?

Answer 1

Having a prosthetic valve increases chance and staph epi. tends to stick to it and cause endocarditis

Question 2

Explain the pathogenesis of endocarditis

Answer 2

The virulence factors tend to be coagulase negative bacteria

Question 2

What are the microbiological components of endocarditis? (2)

Answer 2

Question 3

What are the microbiological components of endocarditis? (1)

Answer 3

Having staph aureus in the blood means endocarditis even if they do not have a prosthetic device

Question 4

What are the microbiological components of endocarditis? (3)

Answer 4

coag pos = staph aureus
coag neg= staph epi

Question 5

What are the clinical presentations of endocarditis?

Answer 5

Question 6

Tell me the pathologic changes for endocarditis.

Answer 6

Question 7

What are the extra-cardiac manifestations that comes with endocarditis

Answer 7

Question 8

What are the complications that come with endocarditis?

Answer 8

Question 9

What are the lab findings for endocarditis?

Answer 9

Question 10

Tell me about the echocardiography in response to endocarditis

Answer 10

TTE not good for obese patients and TEE is better

Question 11

What are some other imaging approaches for endocarditis ?

Answer 11

Question 12

What is the modified duke diagnostic criteria (2023)

Answer 12

Question 13

Describe the treatment for endocarditis

Answer 13

Question 14

What is the duration of therapy for endocarditis?

Answer 14

The picture here is very important

If the surgery prosthetic culture is positive on (ex feb 10) then u start combo therapy on feb 10

If the prosthetic culture is negative on (ex feb 10th) then the count starts on feb 5th

Question 15

Describe Staphylococci treatment. (1)

Answer 15

8-12mg/kg 24H normal renal function

Question 16

Describe Staphylococci treatment for MSSA and MRSA for Native Valve. (2)

Answer 16

Ancef is not option for CSF (only 3rd and 4th gen)

Question 17

Describe Staphylococci treatment for MSSA and MRSA with a prosthetic valve. (3)

Answer 17

Question 18

Describe Streptococci treatment.

Answer 18

Question 19

Describe streptococci treatment with a native valve (1)

Answer 19

For the second pic if you add gent it shortens it to two weeks

Renal dysfunction no gent, but if they can handle it why not

Question 20

Describe streptococci treatment with a Prosthetic valve (1)

Answer 20

Question 21

Describe streptococci treatment with a Prosthetic valve (2)

Answer 21

Question 22

Describe streptococci treatment with a native valve (2)

Answer 22

Question 23

Tell me about enterococci treatment

Answer 23

Question 24

Describe the drugs used for enterococci treatment for endocarditis (1)

Answer 24

Question 25

Describe the drugs used for enterococci treatment for endocarditis (2)

Answer 25

Question 26

Tell me about gram negative endocarditis

Answer 26

Question 27

What is the treatment for gram negative endocarditis?

Answer 27

Question 28

What do I collect and assess for a patient with endocarditis?

Answer 28

Question 29

What is the patient care process for planning and implementation for endocarditis?

Answer 29

Question 30

What do I monitor and evaluate and follow up with for patients?

Answer 30

Question 31

What are some endocarditis prophylaxis? (1)

Answer 31

Question 32

What are some endocarditis prophylaxis? (2)

Answer 32

Question 33

Answer 33

C

Question 34

Summarize the meningitis table

Answer 34