Endocarditis/ Pericarditis Flashcards
IVDA bacteria and valve?
S. aureus and Tricuspid, Strep
What bacteria is with prosthetic valves?
Short term: Staph epi
60 + days - staph, S viridians
Complications to endocarditis
CHF, valvular disease
Endocarditis risk factors?
IVDA, Major dental, Pulmonary surgery
What kind of murmur is with Endocarditis?
Tri/Mitral regurg.
What are the cutaneous signs of endocard
Petechia, splinter hemorrage, Oslers, Janeway lesions (palm), Roth spots
How do you diag Endocard?
Blood Cultures and Echo changes
How do you Tx endocarditis
Nafcillin + Genta + Vanco
How do you Tx endocarditis with prosthetic valve?
Vanco + Rifampin
What is the prophy for Endocard?
Amox or Ceftriaxone
Pericarditis presentation?
Chest pain –> can lead to tamponade
what drugs cause Pericarditis?
Procanimide, Hydralazine
how do you diagnose pericarditis?
EKG, diffuse ST elevation (concave up), and PR depression.
Classic triad of tamp?
Alternans, low voltage, tachy (+Becks triad)
How do you diagnose pericardial effusion?
Echo (r-side diastolic collapse = tamponade)