Infective Endocarditis Flashcards

1
Q

Which species is dominant in causing acute IE

A

Staphylococcus

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2
Q

What is the process in which bacteriemia will deposit these pathogenic organisms on NBTE mass exchanging these benign structures to pathogenic malignant masses?

A

Vegetation

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3
Q

What is the mass formed on the inner wall of the vessel as a result of the damaged surface covered with fibrin and thrombocytes

A

Non bacterial thrombotic endocarditis

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4
Q

Endocarditis without bacteria=
Endocarditis with bacteria=

A

NBTE
Vegetation

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5
Q

Def of endocarditis?

A

Inflammation of the endocardium lining the heart cavities and heart valves

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6
Q

……+…..=infective endocarditis?

A

Cardiac murmur+fever

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7
Q

What is the difference between between acute and subacute IE?

A

Acute: caused by high virulence, usually

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8
Q

What is one of the most causative reasons for bacteremia?

A

Gingival/tooth apex related invasive oral procedure

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9
Q

What is one of the most important. Physical finding for IE?

A

Cardiac murmur

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10
Q

Mitral valves is present between ….

A

Left atrium and left ventricle

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11
Q

What is a major clinical manifestation of IE?

A

Fever

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12
Q

Infective endocarditis is which type of disease?

A

Systemic

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13
Q

Acute rheumatic fever is which type of disease?

A

Inflammatory disease

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14
Q

What are the imp factors to consider in infective endocarditis?

A

Fever +murmur+ positive blood culture

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15
Q

What are the major criteria vs minor criteria for IE?

A

Major: positive blood culture, ECHO finding of endocardial involv

Minor: presence of predisposition, fever>38C, presence of vascular phenomena, presence of immunologic phenomena, serologic evidence of active infection

Definitive dx: 2 major or 1 major and3 minor or 5 minor

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16
Q

What is the most likely bacteria of acute IE …?

A

Staph

17
Q

What is the most likely bacteria of subacute IE …?

A

Streptococcus

18
Q

When is prophylaxis give for IE?

A

For high risk patients and After main treatment for pt who survived IE

19
Q

What is the difference between prophylaxis in rheumatic fever vs IE?

A
20
Q

Which procedure need prophylaxis?

A

Oral hygiene and before dental procedures

21
Q

Which prescribe medication/prophylaxy is given before dental procedures?

A

Amoxicillin/ampicillin 2mg 1hr before procedure