Infective/inflammatory Disorders Flashcards

1
Q

Endocarditis- Eti

A

M>W, 50-70, Due to IV drugs, rhematic, artifical valves, defects, catheters
- S. aureus!

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2
Q

Endocarditis- Sx

A
  • Mild febrile illness days-weeks
  • Heart murmur
  • Petechiae, splinter hemorrhages, olser nodes, janeway lesions, roth spots
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3
Q

Endocarditis- Dx

A
  • Blood culture + new murmur + echo
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4
Q

Endocarditis- Tx

A

Abx

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5
Q

Myocarditis- Eti

A

1- Acute viral or post viral response

2- Non-viral pathogen, drugs, inflammatory disease

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6
Q

Myocarditis- Sx

A
  • Days-weeks following febrile illness
  • Heart failure
  • Chest pain, dyspnea
  • Tachy
  • Gallop
  • Edema
  • Conduction defect
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7
Q

Myocarditis- Dx

A

Elevated WBC, ESR, CRP, troponin, CK-MB

- Histology to confirm

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8
Q

Myocarditis- Tx

A
  • Antimicrobial
    immunosuppressive
  • Supportive care
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9
Q

Pericarditis- Eti

A
  • Males under 50

- Viral most common, following URI

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10
Q

Pericarditis- Sx

A
  • Plueritic chest pain, radiate to neck, shoulder, back, epigastrium. Relief with sitting
  • Dyspnea & fever
  • Friction rub
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11
Q

Pericarditis- Dx

A
  • Clinical
  • Leukocytosis
  • Pericardial cytology
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12
Q

Pericarditis- Tx

A
  • NSAIDS
  • Colchicine
  • Corticosteroids
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