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Cardio 8 (myocardia)

Step-2

QuestionAnswer
What are the symptoms of neuroleptic malignant syndrome? altered mental status, m ridgitidy, hyperthermia, autonomic instability, rhabdo
What is the tx for NMS? discontinue medication, cooling and IVFs, dantrolene or Bromocriptine or amantadine
A young pt whose father died at age 30 in a MVA suddenly collapses and dies while exercising. What is the cause of death? HOCM
What are the common viruses that cause myocarditis? coxsakie virus, influenza, EBV, CMV, Adenovirus and echovirus
A south american immigrant has cardiomegaly and achalasia. What is the organism likely responsible for the pts dz? chagas dz caused by trypanosoma cruzi
What are the major Jones criteria in the diagnosis of RHD? JONES: Joints(polyarthritis), pancarditis/valve damage, nodules(subcutaneous), erythema marginatum, sydenham chorea
What are some of the drugs that can cause myocarditis? cancer drugs(doxorubicin, daunorubicin, cyclophosphamide), chloroquine, PCNs, sulfonamides, cocaine, radiation
What causes RHD? untreated GAS infection, provokes autoantibodies to attack heart valves and joints
Duke criteria is used for diagnosis of ______. infective endocarditis
What is Libman-Sacks endocarditis? SLE patients present similarly to patients with endocarditis, but have noninfective endocarditis called Libman-Sacks
What are the mcc of acute endocarditis? staph aureus, strep pneumo, staph pyogenes, N.gonorrhoeae.
What are the mcc of subacute endocarditis? strep viridans(associated with dental procedures), enterococcus, fungi and staph epidermidis
Should patient with damaged valves from endocarditis get prophylaxi before surgery or dental work? YES! You do not need give prophy to patient with damage caused by RHD.
Prosthetic valves are particularly susceptible to _____________infection. staph epidermidis
Which imaging tool do you use to help diagnose endocarditis? TEE
What are the HACEK bacteria (which cause negative culture endocarditis)? haemophilis, actinobacillus, cardiobacterium, Eikenella, Kingella
Describe the following peripheral sign of endocarditis: janeway lesions painless petechia on palms and soles
Describe the following peripheral sign of endocarditis: osler node painful nodules on fingers/toe pads
Describe the following peripheral sign of endocarditis: roth spots retinal hemorrhages
Describe the following peripheral sign of endocarditis: splinter hemorrhages petechia under nails
What is the best study to visualize a vegetation on a heart valve? TEE
What is the treatment for endocarditis? long-term IV ABX (usually IV vanco) for 4-6 weeks.
Created by: shelybel
 

 



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