Lipids
An 8 year old patient that has markedly increased cholesterol levels upon bloodwork.
Familial hypercholesterolemia
What is the name of the criteria for infective endocarditis?
Most common type of pericarditis
Viral
What is a sequelae of a strep infection?
Rheumatic fever
Pericardial effusion/tamponade
Risk factors for high cholesterol
Family history (familial hypercholesterolemia)
Type 2 DM
Older age
Male
Overweight or obesity
On physical exam for a patient with a history of IVDA, he has a new holosystolic murmur, tender nodules on his fingertips, and painless red macules on his palms and soles. Name these.
Janeway lesions and osler nodes
Sound associated with pericarditis
Pericardial friction rub
Which valve is most commonly affected in rheumatic heart disease
Mitral valve
What guides treatment for infectious endocarditis
Blood cultures
Elevation of serum total or LDL cholesterol or triglyceride
Hyperlipidemia
Give a qualification for a patient to receive prophylaxis for infective endocarditis
Prosthetic heart valves
Cardiac valve repair
A prior history of IE
Unrepaired cyanotic congenital heart disease
What position will a patient say is most comfortable with pericarditis
Sitting and leaning forward
Major diagnostic criteria for rheumatic heart disease
Jones criteria
How long do you treat infective endocarditis
6 weeks
Statin
Haemophilus
Aggregatibacter
Cardiobacterium
Eikenella
Kingella
Name EKG finding for a patient with pericarditis
Wide diffuse ST segment elevation
Purposeless, jerky movements associated with rheumatic fever, often seen in children.
Sydenham chorea
Suspicious of endocarditis but the echo results with normal findings, what would you order?
TEE (transesophageal echocardiogram)
What can a patient develop of extremely high triglyceride levels are present
Major duke criteria for infective endocarditis
Positive blood culture of typical organism (2 cultures)
Evidence of endocardial involvement (mass, abscess, prosthetic valve dehiscence, new valvular regurgitation on echo)
EKG finding for a patient with cardiac tamponade
Low voltage signals
How many weeks following a strep infection does rheumatic fever develop
2-3 weeks
What is the first line treatment for acute pericarditis
Aspirin or ibuprofen + colchicine