Notes in 04 Traumatic Infectious and Inflammatory Heart Conditions

To Subscribe, use this Key

Status	Last Update	Fields
Published	06/26/2023	Infective Endocarditis:Infection of heart {{c2::valves}} or {{c2::endocardium}}Result in vegetations composed of thrombotic and organismsOften associa…
Published	06/26/2023	Organisms of Infective endocarditis:{{c1::Staphylococcus aureus}}{{c1::Viridans}} group strepEnterococci
Published	06/26/2023	Acute vs Subacute IE: Acute:Typically, infection of previously normal valve by virulent organism- most commonly {{c1::staph aureus}} Subacute:Usu…
Published	06/26/2023	Predisposing fx of IE:{{c1::preexisting valve}} disorders- {{c1::rheumatic heart disease, mitral valve prolapse, aortic stenosis, bicuspid aoritic val…
Published	06/26/2023	Infective Endocarditis Presentation:Acute endocardititis- rapidly developing {{c2::fever, chills, weakness}}Subacute- Sx less dramatic; presentation m…
Published	06/26/2023	Infective Endocarditis: Dx:{{c1::Fever}}, {{c1::murmer}}Positive Blood cultures:At least {{c2::2}}, preferably {{c2::3}} should be obtatined before be…
Published	06/26/2023	512b4e3de9644a3d80284f16020824ce-oa-1
Published	06/26/2023	{{c1::Echocardiogram}} in dx IE{{c1::Transthroacic echocardiogram}}- initial imaging, non invasiveRelatively sensitive and specificIndicated in most p…
Published	06/26/2023	44c48a15ade643b9bf7d7b363d369421-oa-1
Published	06/26/2023	44c48a15ade643b9bf7d7b363d369421-oa-2
Published	06/26/2023	Osler Nodes: Clinical Hallmarks:{{c1::Painful}}Erythematous, {{c1::raised}} lesions{{c1::Immune complex}} depositionHands and feetUncommon but highly …
Published	06/26/2023	{{c1::Janeway}} lesions: Clinical Hallmarks:{{c2::Non-tender}}Small, erythematous or {{c2::hemorrhagic macular / nodular lesions}}Palms and solesUncom…
Published	06/26/2023	Clinical Manifestation of IE- {{c1::ROTH}} SPOTS:Small {{c1::retinal hemorrhages}}Uncommon but highly suggestive
Published	06/26/2023	{{c1::Splinter}} hemorrhages- clinical manifestation of ie{{c1::Linear hemorrhages}} from capillary thrmobusUncommon but highly suggestive of IE
Published	06/26/2023	Infective endocarditis Tx:Native Valve:{{c1::IV antibiotics}} depending on blood culture sensiitiveProlonged course for {{c1::4-6 weeks}}, may get tx …
Published	06/26/2023	General Approach of IE:Multidisciplinary team{{c1::IDCardioCardiovasc surgurey}}{{c1::Dental}} Eval{{c1::GI}} eval
Published	06/26/2023	Preventing Recurrent IE:Prophylaxis antimicrobial therapy - {{c1::dental procedures}} tha tinvolve manipulation of gingiva, periapical region of tooth…
Published	06/26/2023	Acute Pericarditis:Inflammation of the pericardiumAcute- sx for no longer than {{c1::1-2 weeks}} in durationMajority of cases: Idiopathic- probably {{…
Published	06/26/2023	Clinical Presentation of acute pericarditis:Many pts are asxMost common sx is {{c1::chest pain}}Pain is {{c1::pleuritic}}- worse with {{c1::inspi…
Published	06/26/2023	Acute pericarditis: PE{{c1::Friction rub}} on auscultationThree components- ventricular systole, early diastolic filling and atrial contractionBest he…
Published	06/26/2023	Acute pericarditis: Diagnostic eval:May have elevated {{c1::troponin}}Ecg- diffuse {{c1::St segment elevations}} (classical finding)Echo/cxr…
Published	06/26/2023	Acute pericarditis: DD:{{c1::PE}}A MIPneumonitis or pleuritisCostochondritisGERD
Published	06/26/2023	Tx of acute pericarditis:{{c1::NSAIDS}}, High dose {{c1::aspirin}} / {{c1::colchicine}}Tx underlying diseaseMost resolve and never recur
Published	06/26/2023	Pericardial Effusion:{{c1::fluid}} Collection in pericardial sacSpecific causes:hemorrhagicUremiaAI illness{{c1::Malignancy}}!!!
Published	06/26/2023	Consequences of pericardial Effusion: Fx:{{c1::Size}} and {{c1::rate}} at which it develops- {{c1::Slow}}- may accumulate large amt without issue…
Published	06/26/2023	Evaluation of Pericardial Effusion:Hemodynamically stable: most pts will have {{c1::no sx specific sx}} to effusion but may have sx related to underly…
Published	06/26/2023	Dx of Pericardial Effusion:Electrocardiogram- {{c1::Low voltage QRS}} complexes with normal heart rateNote: Low voltage qrs complexes with sinus …
Published	06/26/2023	Diagnosis of pericardial Effusion:If EKG (low voltaage QRS and CXR showing cardiomegaly) are suggestive of pericardial Effusion{{c1::Echocardiogram}}i…
Published	06/26/2023	MGMT of Pericardial Effusions: Dependent on several fx:What is the hemodynamic impact?No compromiseMild compromiseSevere compromise- most extreme case…
Published	06/26/2023	MGMT of Pericardial Effusions:Pericardial Fluis {{c1::analysis}} and {{c1::bx}}Not generally performed in low riskTherapeutic and dxIndications:{{c1::…
Published	06/26/2023	{{c1::Cardiac Tamponade}}:Compression of the Right side of the heart by pericardial effusion, preventing venous return to the heart
Published	06/26/2023	Presentation of cardiac tamponade:Signs d/t {{c1::r heart failure}}, decreased {{c1::cardiac output}}Tachy, {{c1::diaphoresis, cool extremities, perip…
Published	06/26/2023	e3e0c9b5b6d34774ad91cf9190e41d8f-oa-1
Published	06/26/2023	e3e0c9b5b6d34774ad91cf9190e41d8f-oa-2
Published	06/26/2023	Management of Effusion:Continuous {{c1::IV fluids}}{{c1::Urgent echo}}{{c1::Pericardiocentesis}}: insertion of needle into effusion to withdraw fluidP…
Published	06/26/2023	Cardiac Tamponade diff: Think this in the following pts with hypotension and tachy{{c1::Malignancy }}reent {{c1::cardiac procedure}}Ches{{c1::t t…
Published	06/26/2023
Published	06/26/2023
Published	06/26/2023
Published	06/26/2023
Status	Last Update	Fields