EndocarditisEndocarditisFebruary 22, 2008February 22, 2008 Notes | EduRev

: EndocarditisEndocarditisFebruary 22, 2008February 22, 2008 Notes | EduRev

 Page 1


Endocarditis
Endocarditis
February 22, 2008
February 22, 2008
David Stultz, MD
David Stultz, MD
Southwest Cardiology, Inc.
Southwest Cardiology, Inc.
(c) 2000-2008 David Stultz, MD
Page 2


Endocarditis
Endocarditis
February 22, 2008
February 22, 2008
David Stultz, MD
David Stultz, MD
Southwest Cardiology, Inc.
Southwest Cardiology, Inc.
(c) 2000-2008 David Stultz, MD
Topics to be covered
Topics to be covered
? ?
Overview of Treatment
Overview of Treatment
? ?
Complications
Complications
? ?
Indications for Surgery
Indications for Surgery
? ?
Prognosis
Prognosis
? ?
Prophylaxis
Prophylaxis
? ?
Pearls for the Boards
Pearls for the Boards
? ?
Epidemiology
Epidemiology
? ?
Microbiology
Microbiology
? ?
Clinical presentation
Clinical presentation
? ?
Physical Exam Findings
Physical Exam Findings
? ?
Diagnostic Imaging
Diagnostic Imaging
(c) 2000-2008 David Stultz, MD
Page 3


Endocarditis
Endocarditis
February 22, 2008
February 22, 2008
David Stultz, MD
David Stultz, MD
Southwest Cardiology, Inc.
Southwest Cardiology, Inc.
(c) 2000-2008 David Stultz, MD
Topics to be covered
Topics to be covered
? ?
Overview of Treatment
Overview of Treatment
? ?
Complications
Complications
? ?
Indications for Surgery
Indications for Surgery
? ?
Prognosis
Prognosis
? ?
Prophylaxis
Prophylaxis
? ?
Pearls for the Boards
Pearls for the Boards
? ?
Epidemiology
Epidemiology
? ?
Microbiology
Microbiology
? ?
Clinical presentation
Clinical presentation
? ?
Physical Exam Findings
Physical Exam Findings
? ?
Diagnostic Imaging
Diagnostic Imaging
(c) 2000-2008 David Stultz, MD
Endocarditis
Endocarditis
is
is
…
…
? ?
An infection of the heart, typically
An infection of the heart, typically
involving valve leaflets
involving valve leaflets
? ?
May also involve
May also involve
? ? Chordae Chordae tendinae tendinae
? ? Mural Mural endocardium endocardium
? ? Site of a Site of a septal septal defect defect
? ? Arteriovenous Arteriovenous shunts shunts
? ? Patent Patent ductus ductus arteriosus arteriosus
? ? Intracardiac Intracardiac hardware hardware
(c) 2000-2008 David Stultz, MD
Page 4


Endocarditis
Endocarditis
February 22, 2008
February 22, 2008
David Stultz, MD
David Stultz, MD
Southwest Cardiology, Inc.
Southwest Cardiology, Inc.
(c) 2000-2008 David Stultz, MD
Topics to be covered
Topics to be covered
? ?
Overview of Treatment
Overview of Treatment
? ?
Complications
Complications
? ?
Indications for Surgery
Indications for Surgery
? ?
Prognosis
Prognosis
? ?
Prophylaxis
Prophylaxis
? ?
Pearls for the Boards
Pearls for the Boards
? ?
Epidemiology
Epidemiology
? ?
Microbiology
Microbiology
? ?
Clinical presentation
Clinical presentation
? ?
Physical Exam Findings
Physical Exam Findings
? ?
Diagnostic Imaging
Diagnostic Imaging
(c) 2000-2008 David Stultz, MD
Endocarditis
Endocarditis
is
is
…
…
? ?
An infection of the heart, typically
An infection of the heart, typically
involving valve leaflets
involving valve leaflets
? ?
May also involve
May also involve
? ? Chordae Chordae tendinae tendinae
? ? Mural Mural endocardium endocardium
? ? Site of a Site of a septal septal defect defect
? ? Arteriovenous Arteriovenous shunts shunts
? ? Patent Patent ductus ductus arteriosus arteriosus
? ? Intracardiac Intracardiac hardware hardware
(c) 2000-2008 David Stultz, MD
A vegetation is
A vegetation is
…
…
? ?
A collection of
A collection of
? ?
Platelets
Platelets
? ?
Fibrin
Fibrin
? ?
Bacteria
Bacteria
? ?
Inflammatory cells
Inflammatory cells
Braunwald, 8
th
ed.
(c) 2000-2008 David Stultz, MD
Page 5


Endocarditis
Endocarditis
February 22, 2008
February 22, 2008
David Stultz, MD
David Stultz, MD
Southwest Cardiology, Inc.
Southwest Cardiology, Inc.
(c) 2000-2008 David Stultz, MD
Topics to be covered
Topics to be covered
? ?
Overview of Treatment
Overview of Treatment
? ?
Complications
Complications
? ?
Indications for Surgery
Indications for Surgery
? ?
Prognosis
Prognosis
? ?
Prophylaxis
Prophylaxis
? ?
Pearls for the Boards
Pearls for the Boards
? ?
Epidemiology
Epidemiology
? ?
Microbiology
Microbiology
? ?
Clinical presentation
Clinical presentation
? ?
Physical Exam Findings
Physical Exam Findings
? ?
Diagnostic Imaging
Diagnostic Imaging
(c) 2000-2008 David Stultz, MD
Endocarditis
Endocarditis
is
is
…
…
? ?
An infection of the heart, typically
An infection of the heart, typically
involving valve leaflets
involving valve leaflets
? ?
May also involve
May also involve
? ? Chordae Chordae tendinae tendinae
? ? Mural Mural endocardium endocardium
? ? Site of a Site of a septal septal defect defect
? ? Arteriovenous Arteriovenous shunts shunts
? ? Patent Patent ductus ductus arteriosus arteriosus
? ? Intracardiac Intracardiac hardware hardware
(c) 2000-2008 David Stultz, MD
A vegetation is
A vegetation is
…
…
? ?
A collection of
A collection of
? ?
Platelets
Platelets
? ?
Fibrin
Fibrin
? ?
Bacteria
Bacteria
? ?
Inflammatory cells
Inflammatory cells
Braunwald, 8
th
ed.
(c) 2000-2008 David Stultz, MD
Endocarditis
Endocarditis
looks like
looks like
…
…
Braunwald, 8
th
ed.
(c) 2000-2008 David Stultz, MD
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