Cardiac Infections Flashcards

1
Q

What are the signs of septicemia

A

fever, tachycardia, tachypnea, elevated leukocyte count (SIRS) systemic immune response syndrome.

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2
Q

what are the 2 most common causes of septicemia in newborns

A

Strep B and Ecoli

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3
Q

what r the 2 most common causes of septicemia in children

A

strep pneumo and Neisseria

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4
Q

what r the 2 most common causes of septicemia in adults

A

staph aureas, strep pneumo

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5
Q

what are the tests u would order for septicemia

A

blood cultures, CBC, urine CSF cultures, wound cultures

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6
Q

how would u rx sepsis

A

support, admit IV & Abx

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7
Q

Whats the most common cause for Rheumatic Fever

A

2-3 wks. following a strep pyogenes pharyngitis infection (beta lysis)

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8
Q

what is the hallmark rash seen in pts with Rheumatic Fever

A

erythema marginatum

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9
Q

a + throat culture for strep pyogenes and an elevated antistreptolysin (ASO) would indicate

A

Rheumatic fever

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10
Q

how would u rx rheumatic fever

A

bed rest, salicylates, IM penicillin, macrolide if allergic.

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11
Q

Whats most common cause of endocarditis

A

strep Viridans, some staph aureas

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12
Q

Describe endocarditis

A

growth occurs within heart valves/chambers (organisms/fibrin/platelets)

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13
Q

What are classic features of endocarditis

A

fever, murmur

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14
Q

Before getting blood culture results back, you’d want to start rx pt right away with

A

empiric abx for staph, strep, and enterococci

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15
Q

this heart disease is almost 80-90% idiopathic, otherwise most common is viral

A

acute pericarditis

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16
Q

What is the hallmark sign of pericarditis

A

chest pain, EKG changes, and *Friction rub, new/worsening effusion

17
Q

how would u rx pericarditis

A

NSAIDs

18
Q

what is the typical trend for recovery rates in patients with idiopathic/viral pericarditis

A

almost half are recovered in a wk, 1/4 in 3 weeks, and 3% remain stricken more than 3 wks. ***hence recovery rates are good