Serious & Notifiable Infections — Flashcards

Flashcard 111: One symptom associated with bacterial endocarditis is _____, which are small, nontender, erythematous lesions on the palm or sole

Answer: Janeway lesions

Flashcard 112: Infective endocarditis is assessed with the _____ criteria

Answer: Modified Duke

Flashcard 113: _____ valves increase the risk of infective endocarditis

Answer: Prosthetic

Flashcard 114: One symptom associated with bacterial endocarditis is _____, which are tender, raised lesions on the finger or toe pads

Answer: Osler nodes

Flashcard 115: Initial empiric antibiotic management for infective endocarditis in a native valve usually includes _____ or _____

Answer: flucloxacillin and gentamicin

Extra: Guidelines (e.g., NICE/ESC) advise tailored empiric therapy based on the clinical setting (community vs. healthcare-associated) and patient allergies. Amoxicillin alone is insufficient as it misses Staphylococcus aureus, the most common cause of acute IE.

Flashcard 116: What is the initial investigation for infective endocarditis? _____

Answer: Blood cultures - 3 sets of blood cultures taken from different sites

Flashcard 117: Endocarditis secondary to IVDU most commonly affects the _____ valve

Answer: tricuspid

Flashcard 118: What is the prophylaxis for infective endocarditis in dental procedures? _____

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

Flashcard 119: What imaging is done for infective endocarditis (esp. if there is a heart murmur)?\n_____

Answer: Echocardiography (TTE/TEE)

Flashcard 120: Mortality in infective endocarditis is ~_____%

Answer: 25