Endocarditis

Question 1

Buzzwords for endocarditis

Answer 1

Roth Spots
Janeway Lesions
Oslers Nodes

Question 2

What are the most and 2nd most common causes of endocarditis

Answer 2

Staph Aureus is the most common cause.

Staph epidermidis if within 2 months of prosthetic valve relpacement.

Question 3

What are the Major Aspects of the Duke Criteria?

Answer 3

2x Positive Blood Cultures

1 Positive Echo

Question 4

What are the minor aspects of the Duke Criteria?

Answer 4

Temp > 38
Culture Positive
Predisposotion for EC
Vascular/Immonologiclal Phenomena

Question 5

What is needed from the Dukes Criteria in order to diagnose endocarditis

Answer 5

2 majors and a minor

1 major and 3 minors

Question 6

Native Valve Indolent

Answer 6

Amoxicillin and gentamicin

Question 7

Native Valve Severe Sepsis

Answer 7

Flucloxacillin

Question 8

Prosthetic Valve or Suspected MRSA

Answer 8

Vancomycin and Gentamicin. WHen theapeautic levels are reached then rifampicin is added.

Question 9

Staph Aureus

Answer 9

IV Drug users (Tricuspid Valve)

Flucloxacillin

Question 10

MRSA and Staph Epi

Answer 10

Vancomycin + Rifampicin + Gentamicin

Question 11

Strep

Viridans most likely from dental work

Answer 11

Benzylpenicillin +/- Gentamicin