T1W1 Flashcards

1
Q

jones major criteria

A
J - joints - polyarthritis
O - carditis
N - subcut nodules
E - erythema marginatum
S - Sydenham chorea/CNS involvement
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2
Q

jones minor critera

A

C - CRP increased
A - arthralgia
F - fever
E - elevated ESR

P - prolonged PR interval
A - anamnesis of rheumatism (i.e. PMH of RHD/ARF)
L - leucocytosis

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3
Q

causes of AF

A
P - pulmonary disease (OSA, COPD, lung ca)
I - ischemia/infarct
R - RHD  and mitral regurgitation
A - alcohol/atrial dilation
T - thyrotoxicosis/toxins
E - electrolytes
S - sepsis
high BP
stress
congenital heart defects
previous surgeries
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4
Q

diagnosis of RHD

A

2 major + 1 minor OR
1 major + 2 minor
both with evidence of previous GAS infection - +ve throat culture, +ve antistreptolysin O titre

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5
Q

high risk groups of ARF

A

those living in communities with high incidence: >30/100,000 5-14yr olds; RHD in total population>2/1000; ATSI in rural and remote and urban areas

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6
Q

etiology of valvular heart disease

A
MI - myocardial infarction
C - cardiomyopathy
A - ageing
R - RHD
E - endocarditis (bacterial)
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7
Q

Diagnosis of infective endocarditis

A

Dukes criteria
2 major
1 major + 3 minor
5 minor

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8
Q

Dukes major criteria

A

MAJOR 1 - positive blood culture
2+ve >12hrs apart
3+ve in 3hrs

MAJOR 2 - echocardiogram findings
new onset valvular regurgitation
mass on valve not attributable to anatomic explanation

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9
Q

Dukes minor criteria

A
  • Fever >38deg
  • echo findings not major
  • blood culture findings not major
  • vascular phenomena - major emboli, septic pulmonary infarcts, janeway lesions, subconjunctival hemorrhage, roth spots
  • predisposing heart condition
  • IVDU
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10
Q

other clinical features of infective endocarditis

A

splenomegaly
signs of CHF
focal neurological signs secondary to emboli
glomerulonephritis, microscopic hematuria

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11
Q

killip classes - use and what are they

A

I - no evidence of heart failure
II - mild; crackles <1/3 from base, SBP>90mmHg
III - moderate; crackles >1/3 from base, SBP>90mmHg
IV - severe; crackles >1/3 from base, SBP<90mmHg

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