USMLE/COMLEX - Step 2 - Infective endocarditis
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USMLE/COMLEX - Step 2 - Infective endocarditis
List etiologies of infective endocarditis
Staphylococcus aureus
Viridans streptococci
Streptococci pneumoniae
Neisseria gonorrhea
Enterococcus
Staphylococcus epidermidis
Streptococcus bovis
Candida
Aspergillus
Haemophilus parainfluenzae
Actinobacillus
Cardiobacterium
Eikenella
Kingella
Coxiella burnetiid
Brucella
Bartonella
List associated risk factors
IV drug use
Immunosuppression
Systemic Lupus Erythematous
Rheumatic, congenital, or valvular heart disease
Prosthetic heart valves
How will the patient present?
Mneumonic FROM JANE
Fever
Roth spots
Osler nodes
Murmur
Janeway lesions
Anemia
Nail hemorrhage
Emboli
Which test is necessary for diagnosis?
Blood culture
What is the treatment?
Most patients are treated empirically with IV vancomycin and gentamicin.