Clinical course (acute or subacute)
Host substrate (native valve)
Specific infecting Microorganism
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heart
Other team wins 20 points!
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magnet
Take 25 points!
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shark
Other team loses 5 points!
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baam
Lose 25 points!
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15
what would echo findings represent for valvular vegetation
abnormal echogenic, irregular mass (attached to valve), site of attachment, more chaortic valve motion than normal
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15
________ is associated with significant morbidity and mortality (20-25%) and if left untreated 100% mortality rate.
IE
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15
True/false: echo provides anticipated timing of surgical intervention
True
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15
Echo Parameter consistent with risk vegetation size
a) <7mm = _____% complication
b) >11mm = _____% complication
a) <10%
b) >50%
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lifesaver
Give 25 points!
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seesaw
Swap points!
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rocket
Go to first place!
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banana
Go to last place!
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15
what is the treatment for IE and for how long and prevention.
Vancomyocin or ampicillin for 4-6weeks of high dose IV antibiotic therapy.
after complete therapy, pt should be educated on dental hygiene, prophylaxis need.
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15
Classification of high or low risk include:
age, clinical status, type, HF, IV drug us Hx
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15
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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15
Infective Endo is defined as a localized infection anywhere on the _________.
Endocardium.
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15
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
____ valve has 3 times more involvement in an emoblic event.
Mitral valve
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15
what are some clinical manifestation of IE?
unexplained fevers, night sweats, fatigue, weakness, systemic illness, signs of HF
