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Score
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15
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Pathogenesis of IE. (what needs to happen for IE to occur)
1. Endocardial surface injury 2. Platelet-fibrin-thrombus formation at site of injury 3. Bacterial entry in circulation 4. bacterial adherence to wall
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15
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What are the Risk Factors for IE
*Prosthetic Valve *recent Hx of invasive procedure (25%) *IV abuse *structural or congenital heart disease
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banana
Go to last place!
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seesaw
Swap points!
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shark
Other team loses 10 points!
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lifesaver
Give 25 points!
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15
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How do we diagnose IE. explain steps
Dukes Criteria: Clinical, Labs and echo findings
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15
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What are clinial ways to identify IE?
Clinical course (acute or subacute) Host substrate (native valve) Specific infecting Microorganism
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15
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________ is associated with significant morbidity and mortality (20-25%) and if left untreated 100% mortality rate.
IE
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15
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True/false: echo provides anticipated timing of surgical intervention
True
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15
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Echo Parameter consistent with risk vegetation size a) <7mm = _____% complication b) >11mm = _____% complication
a) <10% b) >50%
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15
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what are some IE complications.
*embolization (left: stroke, ischemia, renal failure, right: PE or pneumonia) * Leaflet perforation, flail * acute regurge *tamponade *HF
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15
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what are the goals of echo while diagnosing IE.
*presence, location and size of vegetation. *valve dysfunction. *valve dysfun impact on LV size and systolic func. *other comp (PE...)
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15
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Classification of high or low risk include:
age, clinical status, type, HF, IV drug us Hx
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15
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____ valve has 3 times more involvement in an emoblic event.
Mitral valve
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banana
Go to last place!
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shark
Other team loses 25 points!
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gift
Win 15 points!
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thief
Give points!
5
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25
15
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Complications develop in approx ____% for patients being treated for IE.
40%
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15
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Infective Endo is defined as a localized infection anywhere on the _________.
Endocardium.
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monster
Reset all scores!
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star
Double points!
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rocket
Go to first place!
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baam
Lose 20 points!
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