infective endocarditis Flashcards
defiion of ie
inflation of endocarium
what organs are effect by ie
embolic stokes
pulmonary embolis
mi
infration of kidney , psleen , mesenteric , skin
immune response
what are predisposin condtiosn for ie
prosphetic vavles, cardica devices such as defibs
iv drug users
conegtical heart disease
rehutamic valve disae
mtiral valve prolaspe
immunosuppression
what is the clincal history for ie
Pheriphal – finger infact
Splinter heamorages
Roth spots on eye
Brain accesses
Embolic stoke
Splean infaracts
Oslernodes – build up of bluid on hands
Jeneway lesions
what are the signs of ie
fever, chill, wight loss, heart murmur, mylaic, abdo/back pian, condution, embolic compolationcas
diagnosis cirteria tests for ie
Elevated c reactive protein
erythrocytes sedimentation rate
leucocytosis
Aneamia
Microscopic haematuria
how far apart should the blood cultreues be for ie
3 sets 30 min apart
what bacterai are we looking for in blood cultures
staphy auriaus, streptococci, enterococci, coagulation negative streptococci, hacek group
- haemophilus,
- Aggregatibacter,
- Cardiobacterium,
- eikenelly, Kingella
what are showin in a pet/ct
shows the meta boc activity and where the infection likely is
what are the major critesas for dukes ie
blood cultre posive for mico orgais
endocarilgram showing vaula getiation
what are the minor critea for dueks ie
predispoi cardiac lesion
iv drug use
temp above 38 degrees c
embolitic phenomena
immunologic phenomena
postive blood cultre not meeting avove criersa
what is a defie ive in dukes terms
2 major or 1 major and 3 mior
what is a sespeiced ie in dueks tera
1 major and 1 mior or 3 miror
what affects the prognois
age, comorbies, diabets
inefetion organsi e..g funi of strap haurus
presenece of non caria compilatoin el.g. renal failuer ishcam storke
hf
edcocarial fuins such as preiannual compplcaion, svere valveu reugaion
antibioic treaemt for streptoccoiand strepocpoccu infection
penicillin, amoxicillin, ceftiaxone (if beta lactam allergy - vancomycin)
when is surgurgy offeted
heart failure with valvular dysfuoin or carical compciton, uncolneted ineftion, prevention of ebolism
main bacterai in rheumatic heart disease
groudn a heeamolic soph inecio - stphyigits phyion
how long does acutre rumic fever tkae to devo
weeks
how longdes rhumatic heart disease take to develic
year
what tess or done for rumiai har didse
ecg - af, pronged p r interal , chest x ray , signs of enlarged heart, echocardiogram - see valve with segnosi
wht isw the treatemte for rhematic hear dise
peniciin
diureic
vaso dilator - ace / rb
beta blocker/ digoi
antigcoagtion
what is the non medical treamt for rhd
ballon and mital valuosplayt,
what is the treatm ofr rhd surgyr
cardica surgy to repalce valves
