IE

Question 1

what is the criteria used in diagnosis of IE?

Answer 1

Duke criteria

Question 2

What are major Duke criteria?

Answer 2

2 different cultures with typucal bugs in 
>12 hours apart 
OR 3/3 across an hour
ECHO positive (vegetation/abscess)
New regurg

Question 3

What are Duke minor criteria?

Answer 3

fever
Emboli/infarcts
Osler nodes
Roths spots
IVDU
Heart condition that predisposes

Question 4

What is needed for diagnosis using Duke criteria?

Answer 4

2 major or 1 major and 3 minor or 5 minor for definite diagnosis

Question 5

What are some peripheral stigmata of IE?

Answer 5

Petechiae
Splinter haemorrhages
Osler nodes (tender, purple subcut on pulp of digits)
Janeway lesions- non tender macular lesions on palms/soles/fingers
Roth spots on fundoscopy

Question 6

How is IE managed?

Answer 6

STREP: Penecillin, Amox and Cef for 4 weeks (AMox and gent in penecillin allergy)
STAPH: Flucloxacillin, Gentamycin (+/- Rifampicin in prosthesis)