Infective/inflammatory Disorders Flashcards
1
Q
Endocarditis- Eti
A
M>W, 50-70, Due to IV drugs, rhematic, artifical valves, defects, catheters
- S. aureus!
2
Q
Endocarditis- Sx
A
- Mild febrile illness days-weeks
- Heart murmur
- Petechiae, splinter hemorrhages, olser nodes, janeway lesions, roth spots
3
Q
Endocarditis- Dx
A
- Blood culture + new murmur + echo
4
Q
Endocarditis- Tx
A
Abx
5
Q
Myocarditis- Eti
A
1- Acute viral or post viral response
2- Non-viral pathogen, drugs, inflammatory disease
6
Q
Myocarditis- Sx
A
- Days-weeks following febrile illness
- Heart failure
- Chest pain, dyspnea
- Tachy
- Gallop
- Edema
- Conduction defect
7
Q
Myocarditis- Dx
A
Elevated WBC, ESR, CRP, troponin, CK-MB
- Histology to confirm
8
Q
Myocarditis- Tx
A
- Antimicrobial
immunosuppressive - Supportive care
9
Q
Pericarditis- Eti
A
- Males under 50
- Viral most common, following URI
10
Q
Pericarditis- Sx
A
- Plueritic chest pain, radiate to neck, shoulder, back, epigastrium. Relief with sitting
- Dyspnea & fever
- Friction rub
11
Q
Pericarditis- Dx
A
- Clinical
- Leukocytosis
- Pericardial cytology
12
Q
Pericarditis- Tx
A
- NSAIDS
- Colchicine
- Corticosteroids