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Flashcards in Cardiology ID Deck (17)
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1

Most common acute endocarditis bug?

Staph aureus via bacteremia

2

Most common subacute endocarditis bug?

Viridans strep group.

3

Most common valve (subacute endocarditis, general population)?

Mitral valve

4

Most common valve w/ IVDU endocarditis?

Tricuspid valve

5

What does the murmur of IVDU endocarditis sound like?

holosytolic murmur Worse w/ inspiration.

6

Most common bug w/ IVDU endocarditis?

Staph Aureus

7

Most common bug w/ prosthetic valve?

s. epidermis

8

Most common bug w/ colon cancer or IBD?

S. bovis, s. gallolyticus.

9

What do you if you find strep bovis?

Colonoscopy

10

Dx of endocarditis?

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

11

Treatment of staph aureus endocarditis?

Nafcillin + gent, or vanc

12

Treatment of viridans endocarditis?

4-6weeks penicillin.

13

Who needs endocarditis prophylaxis?

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

14

What is liebman-sacks endocarditis?

vegetations on both sides of mitral valve. Lupus.

15

What else can cause endocarditis?

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

16

Infectious causes of culture negative endocarditis?

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

17

Bacteria FROM JANE?

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