Endocarditis

Question 1

Most common bacterial causes of endocarditis

Answer 1

staph aureus and viridans group streptococci

Question 2

Skin lesions associated with infective endocarditis

Answer 2

JOCPRS- Janeway’s lesion, Osler nodes, Clubbin, Petechiae, Roth spots, and splinter hemorrhages

Question 3

Where are Janeway’s lesions located

Answer 3

Nodules or macules in palms or soles. Non-tender.

Question 4

Endocarditis complications

Answer 4

Structural valve changes, hemodynamic changes, embolization

Question 5

Diagnosis of endocarditis

Answer 5

Duke’s criteria- Definite endocarditis- 2 major or 1 major plus 3 minor or 5 minor. Possible endocardidits- 1 major plus 1 minor OR 3 minor

Question 6

Blood cultures in endocarditis

Answer 6

minimum of 3 obtained.

Question 7

Patient presents with weight loss, fatigue, clubbing, splenomegaly. SLinear, dark red streaks that are non-blanchable on skin, non tender macules on palms, pinpoint tiny red spots seen on skin, and multiple white centered hemorrhages seen in fundoscopic exam. Lab studies show increased ESR rate, normochromic normocytic anemia, elevated WBC count, elevated rheumatic factor titer, and abnormal urinalysis. You suspect

Answer 7

Endocarditis

Question 8

Gold standard in diagnosing infective endocarditis

Answer 8

Echocardiography

Question 9

Subacute endocarditis therapy

Answer 9

target toward organism

Question 10

Acute endocarditis therapy

Answer 10

Empiric therapy- abx after 3 blood cultures obtained. Use vancomycin 2-6 weeks