Cardiology ID

Question 1

Most common acute endocarditis bug?

Answer 1

Staph aureus via bacteremia

Question 2

Most common subacute endocarditis bug?

Answer 2

Viridans strep group.

Question 3

Most common valve (subacute endocarditis, general population)?

Answer 3

Mitral valve

Question 4

Most common valve w/ IVDU endocarditis?

Answer 4

Tricuspid valve

Question 5

What does the murmur of IVDU endocarditis sound like?

Answer 5

holosytolic murmur Worse w/ inspiration.

Question 6

Most common bug w/ IVDU endocarditis?

Answer 6

Staph Aureus

Question 7

Most common bug w/ prosthetic valve?

Answer 7

s. epidermis

Question 8

Most common bug w/ colon cancer or IBD?

Answer 8

S. bovis, s. gallolyticus.

Question 9

What do you if you find strep bovis?

Answer 9

Colonoscopy

Question 10

Dx of endocarditis?

Answer 10

Blood cx, TTE, then TEE. Evaluate Major and Minor criteria.

Question 11

Treatment of staph aureus endocarditis?

Answer 11

Nafcillin + gent, or vanc

Question 12

Treatment of viridans endocarditis?

Answer 12

4-6weeks penicillin.

Question 13

Who needs endocarditis prophylaxis?

Answer 13

Prosthetic value, history of endocarditis, or uncorrected congenital lesion.

Question 14

What is liebman-sacks endocarditis?

Answer 14

vegetations on both sides of mitral valve. Lupus.

Question 15

What else can cause endocarditis?

Answer 15

malignancy, hypercoagulable state, lupus. (marantic/thrombotic endocarditis).

Question 16

Infectious causes of culture negative endocarditis?

Answer 16

Coxiella, Bartonella, HACEK (hemophilus, actinobacillus, cardiobacterium, eikenella, kingella).

Question 17

Bacteria FROM JANE?

Answer 17

Fever, Roth Spots, Osler Nodes (tender lesions on fingers/toes), Murmur. Janeway lesions, Anemia (microcytic), Nail-bed hemorrhage, Emboli.