Endocarditis

Tears come from the heart and not from the brain - Leonardo da Vinci

Endocarditis
Endocarditis

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Pearls in the Diagnosis of Endocarditis and Blood Culture Interpretation

Pearl 1. Even though we were taught about Janeway lesions and Osler’s nodes in medical school, the reality is that these peripheral manifestations of endocarditis occur in only about 10% of patients.  Listening for heart murmurs which are present in about 90% of patients with endocarditis is one of the most important physical exam maneuvers in patients who present with fever NYD.

Pearl 2. Look at patients’ teeth who present with fever NYD. If they appear to have poor dental hygiene, think about the possibility of endocarditis.

Pearl 3.

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Resources

 Pearls in the Diagnosis of Endocarditis and Blood Culture Interpretation

Even though we were taught about Janeway lesions and Osler’s nodes in medical school, the reality is that these peripheral manifestations of endocarditis occur in only about 10% of patients. Listening for heart murmurs which are present in about 90% of patients with endocarditis is one of the most important physical exam maneuvers in patients who present with fever NYD.

Life in the Fastlane

endocarditis is a disease characterised by inflammation of the endocardium, typically affecting the heart valves and usually caused by infection and can be acute, subacute or chronic. most commonly affecting the aortic valve (previously mitral valve). most cases of fulminant endocarditis are caused by S. aureus. always suspect endocarditis in S. aureus septicaemia (perform TOE).

RebelEM

There appears to be a trend towards better outcomes when surgery is done instead of medical management.

TeachMe Paediatrics

In order for IE to occur you must have the triad of endothelial damage, platelet adhesion and microbial adherence.

HeartPoint

Endocarditis is an infection of the heart valves and parts of the inside lining of the heart muscle (known as the "endocardium"). This is an uncommon, but not rare, infection. It is often very serious. The infection may begin at the time of a dental or medical procedure in someone who has a predisposing abnormality of their heart.

Mayo Clinic

Mayo Clinic is a not-for-profit medical practice dedicated to the diagnosis and treatment of virtually every type of complex illness. Mayo Clinic staff members work together to meet your needs. You will see as many doctors, specialists and other health care professionals as needed to provide comprehensive diagnosis, understandable answers and effective treatment.

MedlinePlus

Endocarditis is an inflammation of your heart's inner lining. The most common type, bacterial endocarditis, occurs when germs enter your heart. These germs come through your bloodstream from another part of your body, often your mouth. Bacterial endocarditis can damage your heart valves. If untreated, it can be life-threatening. It is rare in healthy hearts.

Texas Heart Institute

Welcome to the Texas Heart Institute at St. Luke's Episcopal Hospital website. In keeping with our mission to reduce the devastating toll of cardiovascular disease, we are pleased to provide a wealth of reliable information

The Lancet

Infective endocarditis occurs worldwide, and is defined by infection of a native or prosthetic heart valve, the endocardial surface, or an indwelling cardiac device. The causes and epidemiology of the disease have evolved in recent decades with a doubling of the average patient age and an increased prevalence in patients with indwelling cardiac devices.

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