Misc

Question 1

Antibiotic Prophylaxis IS REQUIRED for patients with:

Answer 1

1. a prosthetic cardiac valve
2. a prosthetic cardiac valve repair
3. a history of infective endocarditis
4. a cardiac transplant that develops a problem in a heart valve.
5. specific serious congenital (present from birth) heart conditions including:
   
   1. unrepaired or incompletely repaired cyanotic congenital heart disease, including those with palliative shunts and conduits
   2. a completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first six months after the procedure
   3. any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or a prosthetic device

Question 2

Routine Antibiotic Prophylaxis IS NOT required for patients with:

Answer 2

1. mitral valve prolapse
2. rheumatic heart disease
3. bicuspid valve disease
4. calcified aortic stenosis
5. congenital heart conditions such as ventricular septal defect, atrial septal defect and hypertrophic cardiomyopathy.

Question 3

What Abx regimen for Prophylaxis?

Answer 3

Question 4

Approach to GERD?

Answer 4

1. Lifestyle modifications: avoid spicy food, acidic foods, alcohol, tobacco
2. PPI course 4-8 weeks
3. F/U 2 weeks after end of above course to see if symptoms have returned
4. if symptoms return - do H. pylori testing
5. Consider Upper Endoscopy referral

Question 5

Red flags for back pain?

Answer 5