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Medicine

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Cardiology

Question
13 out of 18
 

Which of the following is a complication of endocarditis?



A Embolic phenomena
B CHF

C Arrhythmias
D All of the above

Ans. D

All of the above

Clinical features of endocarditis

1. Fever, rigors, night sweats, malaise, weight loss, anaemia, splenomegaly Q, and clubbingQ.

2. Cardiac lesions: Any new murmur, or a change in the nature of a pre-existing murmur.

3. Vegetations may cause valve destruction, and severe regurgitation, or valve obstruction.

4. An aortic root abscess causes prolongation of the P-R interval, and may lead to complete AV block.

5. LVF is a common cause of death.

Immune complex deposition:

1. Vasculitis Q.

2. Microscopic hematuriaQ, is common in glomerulonephritis Q

3. Acute renal failure may occur.

4. Roth spots (boat-shaped retinal haemorrhage with pale centre;

5. Splinter haemorrhages Q (on finger or toe nails);

6. Osler's nodes Q (painful pulp infarcts in fingers or toes)



Vascular phenomena:

1. Emboli may cause abscesses Q.

2. In right-sided endocarditis, pulmonary abscesses.

3. Janeway lesions Q (painless palmar or plantar macules).

Complications of Endocarditis

1. Heart failure

2. Embolic phenomena

3. conduction abnormality

4. CVA

5. Meningitis

6. Mycotic aneurysm (Note: they are due to bacteria and not due to fungus!!!)

7. VSD

8. Perforation of aorta.


Cardiology Flashcard List

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