Serious & Notifiable Infections — Flashcards

Flashcard 101: One symptom associated with bacterial endocarditis is _____, which occurs as blood flows over vegetations on the heart valve

Answer: murmur

Flashcard 102: What is the most common symptom of bacterial endocarditis? _____

Answer: Fever

Flashcard 103: One symptom associated with bacterial endocarditis is _____ (normocytic, normochromic) most likely because of chronic disease/inflammation.

Answer: anaemia

Extra: In infective endocarditis, the anemia is typically a normocytic, normochromic Anemia of Chronic Disease (ACD) due to the persistent inflammatory state and iron sequestration by the reticuloendothelial system. While mechanical hemolysis can occur (especially with prosthetic valves), it is not the primary mechanism for the general anemia seen in IE.

Flashcard 104: _____ valves increase the risk of infective endocarditis

Answer: Prosthetic

Flashcard 105: One symptom associated with bacterial endocarditis is _____, which are tender, raised lesions on the finger or toe pads

Answer: Osler nodes

Flashcard 106: What imaging is done for infective endocarditis (esp. if there is a heart murmur)?\n_____

Answer: Echocardiography (TTE/TEE)

Flashcard 107: One symptom associated with bacterial endocarditis is _____ in the nail bed

Answer: splinter hemorrhages

Flashcard 108: What is the prophylaxis for infective endocarditis in dental procedures? _____

Answer: None, NICE recommend no prophylaxis contradictory to other recommendations

Flashcard 109: Mortality in infective endocarditis is ~_____%

Answer: 25

Flashcard 110: Endocarditis secondary to IVDU most commonly affects the _____ valve

Answer: tricuspid