Busy. Please wait.

Forgot Password?

Don't have an account?  Sign up 

show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.

By signing up, I agree to StudyStack's Terms of Service and Privacy Policy.

Already a StudyStack user? Log In

Reset Password
Enter the email address associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know (0)
Know (0)
remaining cards (0)
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

ID Endocarditis

Bugs and drugs day

Risk factors IE Prosthetic heart valves, stress, cancer, SLE, Dental hygiene, DM, HIV, IVDU, Hemodialysis
Acute endocarditis timeline <6 weeks
Chronic endocarditis >3 mo
Clinical findings IE *fever constitutional, abdo pain, murmur, stroke like symptoms
Physical exam Vitals Hands: clubbing, splinter hemorrhages, vasculitic embolic Roth spots, conjunctival hemorrahted JVP Murmurs, rubs, Flui overload
Eye findings Roth spot Conjunctival hemorrhages
Osler's nodes Painful, erythematous lesions on feet
Janeway lesions Painless lesions on palms and soles of feet (from emboli)
Bugs infecting native valve Viridans strep Staph aureus HACEK Bartonella Fungal
HACEK organisms Hemophilus parainfluenza Actinobacillus Cardiobacterium Eikenella Kingella
Prosthetic valves Coagulase negative staph staph aureus GNB, Fungus
IDVU organisms IVDU MRSA, pseudomonas, GNB
Most common valves to get infected Mitral>aortic>tricuspid>pulmonic
Criteria to diagnose IE Duke's criteria (2 major OR 1 major+3 minor OR 5 minor)
Blood culture of Dukes criteria (major) blood culture -by bacteria known to cause -3 blood cultures 12 h apart
Endocardial criteria (major) Endocardial involvement -echo -valvular regurg
Minor criteria -IVDU -Fever -embolization -Janeway, lesions, -GN -Oslers nodes -Roths spots -positive RF -Positive blood culture from bug that doesn't normally cause IE -Echo that doesnt quite meet criteria
Treatment Acute abx ASAP to minimize (staph aureus usually)
Treatment Subacute (4-5mo) can delay tx until C and S
Treatment Native valve Cloxacillin, amp, gent?
IVDU treatment Vanco and gent
Prosthetic valve treatment Vanco and gent
Created by: baby_manatee