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Robbins Pathology-Cardio (Chapters 11 and 12) > Cardio Micro > Flashcards

Flashcards in Cardio Micro Deck (40)
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1

What are the symptoms of pericarditis

-Sharp chest pain (usually positions as leaning forward will make it better) -Fever -Palpitations

2

What resistance form is commonly arising in Enterococcus (group D strep)

Vancomycin 

3

What are the EKG findings in a patient with pericarditis

-ST elevations -Depressions in aVR and V1

4

What are the complications with S. aureus infection 

Food poisoning

Sclded skin syndrome 

Toxic shock syndrome 

5

What are the common causes of bacterial endocarditis

S. aureus, epidermidis, viridans, group D strep

-HACEK (Haemophilis, Aggregatibacter, cardiobacterium, Eikenella, Kingella

6

What finding is this?

"waterbottle Sign"

-Flattening of the diaphragm due to weight of the effusion

7

What is the finding of mycobacterium when using a acid fast, Ziehl Neelsen stain

Red rods

8

Infectious myocarditis affects which portion of the heart

Myocardium aka the cardiac muscle

9

What is the method of plating Haemophilus sp.

Must be grown on cholate agar, and does not on Blood agar

 

*Can be grown on blood agar if with S aureus as it contain the hemolysins

10

What are the symptoms of intermediate phase chagas disease

Asymptomatic

11

What are the symptoms of chronic phase of chagas disease

-Dilated cardiomyopathy and arrhythmias -Megacolon, achalasia

12

What is the antibiotic prophylaxis treatment for endocarditis in able to take oral medication 

Amoxicillin

13

What is the finding of infective endocarditis

Vegetations and destruction of the cardiac tissue, usually bacterial in nature 

14

What are the symptoms of acute phase of Chagas disease

-Chagoma (lodule at bite site) -Romona sign (periorbital edema) -Fever, malaise -Myocarditis -Meningtioencephalitis

15

Which side of the heart tends to be affected with acute endocarditis 

Right side (especially S. aureus)

16

What is the treatment for Viridans 

Penicillin 

17

What is the manifistation seen with infection for streptococcus viridans

Dental carries with bacterial endocarditis

18

What is the antibiotic prophylaxis treatment for endocarditis in not able to take oral medication and needs an IV

Ampicillin, cefazolin, ceftriaxone

19

What is the vector for trypanosoma Cruzi

Reduviid bug

20

What condition is this and what is the cause?

Scalded skin syndrome

-S. aureus

21

What is the treatment optionf for MSSA

Nafcillin

22

What should be avoided in a patient with myocarditis

NSAIDs, EtOH, exercise

23

What side of the heart tends to be affected in subacute endocarditis

Left side 

24

What is the treatment for someone with myocarditis

Beta blockers ACE inhibitors diuretics

25

What is the treatmen for epidermidis

Vancomyocin 

26

What is the antibiotic prophylaxis treatment for endocarditis in allergic to penicillin

Desensitize, cephalexin, clindamycin, azithromycin

27

What are the treatment contraindications for a patient with pericarditis 

Anticoagulants 

28

What are the main agents of causing pericarditis

-Coxsackie (serous pericarditis) -Mycobacterium tuberculosis (caseous pericarditis)

29

What are the symptoms that should be leading to the differential diagnosis of trichinella spiralis

-Abdominal pain, diarrhea, fever -Muscle pain (myositis) -Periorbital edema -Eosinophilia

30

How does infective endocarditis first start

Bacteremia