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< 2. Steoie Peco eevere chore aiprowte:chovee {Livlgrmedeab tractive chorea 5 ljectionBenzathine pein every weeks 1+ Why2=>Toprevent fare sore teat 1 How Long?=> RHO with MRI usar abut iw INFECTIVE ENDOCARDITIS © won Horpalaeaiet. ars ase { SABES vine amenity acquied Sveptcaccus ProsthaiVahe Endocarditis "Early (2 60 daye) = ©. 0. N.S (Coapulase -ve tophvoceceus) + Latepe0anys!=stvn vsone 1 Wu abuser Fight sdedEndocardtis-Staoh Aureus Seleicacess ——Brinataces ebbing 7 : (sto) Spleromenaly ——Hempgla ——Sansing EXTRAMLE + Dikeciteie=ie + Dike szore»Seertyef one stabeanging + DukestagingColretalcA CLINICAL SCENERIO © couse NATIVE VALVEENDOCAROIS INCIDENCE OF IE < © coves? aval heismasteummenty tween 8 Natvevaieandoeardtie— tra © IE inden is crecty proportion to pressure gradient state MR: Systole: LV-LA (Highest pressure gradient so hgnestnadenceotifecweendocarts) ASL Aorta lyst ‘AR-Aora-V Oat) © coms Highest Lane = ASD (UA RA) = mm restr reef esp Highest (cheer) =vs0-Pon ‘Vejetatons= Fin Pebehaving high gta ever titel gars o Sepieabsces)=Partoraion “Thee vegetation amb tom LV to ata lead to systencmantestatons Echocarsogrphy: segetatons Valveabscee rng abscess Pederson Ofciltnginvacariocmartonvave Pani dnsceneect presthetevalve 2 Bloodautre O toa dd oo < Scanned with CamScanner completions T 1 Séleicabscess rsnabecss——Chbting 1 " finsa8e) Sélenamegey Hempel ——Satorg area Mt + Dikeciteiante + Duke scores Sever fone sabe angina + Duestage CLINICAL SCENERIO © onsser 1 -Achlsagrosed case of RHO, foe weeks 3 rk ‘up for fover done and ave negate. OFF spec tp aatle Diagasise & Important Information ‘+ Preeasting valor leon, ueapened fer ‘ithpalpabe spleen fe MODIFIED DUKES CRITERIA © ome aor eerie | Howto remember + R06 4) Vascular phenomenon = Artestembah Myce aneurysms Aureus sat Conjnetiatnemorhage spt pumonaryiteeon Qs : 1. Echocardiography: + vegetations 1 Maleabsces ing abscess 1 Perforation * satngtracariacmassonvave 4 Parl dehiscence of rothetvaie 2, Bloodauture am naewn a 1 bo GO oY 63 + eteof2botescoectattherteval2haur + least 2 samples shoud be postive shouldbe fom same ogaiem feample shade then rom diferet sts) + 111413: Coxiella burnett = causes Q Fever (snecogcaate) 3, Newonsetmummuringre-steghearclscate MINOR CRITERIA icon 2) Fer> sere Ct 101 en2occen 3) Predisposing coon {+ Werugabuser 5) Immenolgisertei ° ° 2. eRomnSpots wntespatsinfnds) 10: Oder noes Pea sized nodules ip of fges) teeitipot tages toe) + GPSGH:Hemstriarmanfesatont) Lymphoma Urs a en en A a Important Infor + Dukeerteria 1 Duke Scere chatable ngaacerrty + Duke Stagg Carectarm Ul Oo < Scanned with CamScanner How to remember + Ro. Vascularphenomenon + Ateratembat MyeoticaneurysreS. Aureus saw * Conunetiathemocthag, sept pulmonaryinarton v. » Erythemtovrmacslesinpalms/soes > ald © ooat20 DIAGNOSTIC ALGORITHM BaTRAMILE 1 Rothepotseanakoseenin ] How to remember = HACER Q< : (4 NY 1+ ReRothSpots (white spotsinfunds) 1 0: Over nodes (Pea sized nodules in tp of ges) toestipotfinges.toes) «+ G PSN: Hemeturafare maniestations) Lymphoma Leuaems oe 64 Fordiognosiofle.reque (er) ‘on @ Important Information + DikecriterelE Dike Score chetableangnaconnity * Dike Staging Carectum + Non Bacterial tvombetie endocadtis s example of Sterile endocarditis also referred as Marantic Endocarditis. Lesions are present on lateral surface af vane ar.ovary Cages Mabgnaney aan. TREATMENT 6 jooasas PenGAmsictine'Gertomycins Metin @Jenakae PMRSA™Vanconyen 1 VRSA—daptomyin 1 iter 72 hours cuture sensitivity report avaiable, ‘depending uponreprt ‘ater vest patentwlbe afebrlewthin7 dys Irate ator? dy ‘Theremightbesbscess formation 1 Rigealinternton mayberecued © alturenegative endocarditis 1 Techiealconserations 2, Fascleusorganisms:HACEK + (Bocteapreserin ACE grou) 2 Hemepiias Apophis : 2 RAGOREGATIBACTERSpecles Coibacteum Horns 2 E-EkinetaCorrodens © eXingotaKingee ANTIBIOTIC PROPHYLAXIS 07 High rik cade lesions. prohion 1. Prostheticvae 2: Prorerdocaditc 3. Unreparedcengentalcyanticheart 1 Completely repaed CHO

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