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Cardiology (Own) > Endocarditis > Flashcards

Endocarditis Flashcards

1
Q

What is likely focus of infection with strep. pneumonia

A

Pneumonia

Meningitis

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2
Q

What is likely focus of infection with E. coli or klebsiella

A

Urinary tract

Gut

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3
Q

What is likely focus of infection with staph. aureus

A

skin/wound infection
Bone/joints
Endocarditis

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4
Q

Coagulase negative staphylococcus

A

Staph. epidermis

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5
Q

Organism in acute endocarditis

A

Staph. aureus

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6
Q

Organism in subacute endocarditis

A

Strep. viridans

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7
Q

What is endocarditis?

A

Infection of the endothelium of the heart valves

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8
Q

Predisposing factors for endocarditis

A 
Congenital heart disease
Rheumatic fever
Prosthetic heart valve
IV drug user
IV line
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9
Q

Which valves are most commonly affected?

A

Mitral and aortic

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10
Q

How many blood cultures should be taken to confirm endocarditis?

A

Three

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11
Q

Which tests are used to confirm endocarditis?

A

Blood cultures
Serology (if atypical)
Echocardiogram

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12
Q

Prosthetic valve organism

A

Staph epidermis

Staph aureus

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13
Q

Which valve is likely to be affected in IV drug users?

A

Tricuspid

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14
Q

Drug user organism

A

Staph. aureus

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15
Q

Native valve treatment

A

Amoxicillin and gentamicin

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16
Q

Prosthetic valve treatment

A

Vancomycin, gentamicin and rifampicin

17
Q

Drug user treatment

A

Flucloxacillin

18
Q

Staph. aureus treatment

A

Flucloxacillin

19
Q

MRSA treatment

A

Vancomycin and rifampicin

20
Q

Viridans streptococci treatment

A

Benzylpenicillin and gentamicin

21
Q

Enterococcus sp. treatment

A

Amoxicillin/vancomycin and gentamicin

22
Q

Staph. epidermis treatment

A

Vancomycin, gentamicin and rifampicin

23
Q

How long should antibiotics be prescribed for?

A

4-6 weeks

Cardiology (Own) (17 decks)

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