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Infectious diseases > endocarditis > Flashcards

endocarditis Flashcards

1
Q

initial therapy for IV related endocarditis

A

vancomycin
- empiric treatment for endocarditis in native valve should cover staph sensitive + resistant to methcillin, strep and enterococci

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2
Q

endocarditis - viridans susceptivle to penicillin - next step

A

treated with IV penicillin G or IV ceftriaxone for 4 wks

never oral in the beginning

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3
Q

active epididymitis - symptoms

A
  1. unilateral testicular pain
  2. epididymal edema
  3. dysuria + frequency (if coliform infection)
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4
Q

active epididymitis - epidemiology

A
  • younger than 35: sexually trasmitted (chlamydia, gonorrhea) –> no urinary symptoms
  • older than 35: bladder outlet obstruction (coliform bacteria: E.coli) –> urinary symptoms
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5
Q

active epididymitis - diagnosis

A

urinalysis/culture

NAAT for chlamydia + gonorrhea

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6
Q

active epididymitis - treatment

A

ceftriaxone/doxo (if STI)

levofloxacin (if colifom)

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7
Q

Eikinella corrodens endocarditis - think about

A

dental infection (gram (-) rob) (part of HACEK)

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8
Q

The MC valvular abnormality detected in patients with endocarditis

A

MVP with MR (5-8 times higher risk)

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9
Q

MCC of healthcare-associated infective endocarditis

A

staph

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10
Q

endocarditis - S. aureus - clinical associations

A
  1. prosthetic valces
  2. IV cthatheter
  3. Impanted devises
  4. IV drugs
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11
Q

endocarditis - S. viridans- clinical associations

A
  1. Resp track incision or biopsy

2. Gingival manipulation

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12
Q

endocarditis - S. epidermidis - clinical associations

A
  1. prosthetic valves
  2. implanted devises
  3. IV catheters
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13
Q

endocarditis - enterococci - clinical associations

A

Nosocomial UTI

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14
Q

endocarditis - S. gallolyticus (bovid) - clinical associations

A
  1. Colon ca

2. IBD

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15
Q

endocarditis - fungi - clinical associations

A
  1. immune
  2. IV catheters
  3. prolonged antibiotic therapy
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16
Q

suspicion of endocarditis - next step

A

3 cutlures from 3 different sites

Infectious diseases (13 decks)

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