SlideShare a Scribd company logo
1 of 10
IE






Native valve IE – mitral (staph)
ABE HAIE – >72 hr &w in 60 dys S.au
CAIE – Strepto
SABE S.virid
Prosthetic valve endo Early - <2mth,2-12 mth – CONS
Late – S.virid
IVD abusers S.aureus
Left sided IE (R> L shunt) e.g. PFO S. au & enterococci
MOD DUKE’S CRITERIA
MODIFIED FRAMINGHAMS CRITERIA
FOR DIAGNOSIS OF CHF
DX =2 MAJOR OR 1 MAJOR AND TWO MINOR CRITERIA
NOT ATTRIBUTED TO OTHER MEDICAL CONDITIONS
Major criteria
Paroxysmal nocturnal dyspnea
Orthopnea
Elevated JVP
Third heart sound
Pulmonary rales
Cardiomegally on chest x ray
Pulmonary edema on chest x ray
Weight loss >= 4.5 kg in five days in response to treatment of
presumed CHF 5
Minor criteria
Bilateral leg edema
Nocturnal cough
Dyspnea on ordinary exertion
Hepatomegaly
Pleural effusion
Tachycardia ( HR >= 120 bpm)
Weight loss > = 4.5 kg in five days
6
WRITING COMPLETE DX OF CHF






Respiratory causes
(SLAM)
 Suppurative lung disease (bronchiectasis, cystic fibrosis, empyema, lung
abscess)
 Lung cancer
 Alveolitis (fibrosing)
 Mesothelioma
Cardiovascular causes
(CIA)
 Cyanotic heart disease
 Infective endocarditis
 Atrial myxoma
Gastrointestinal causes
(MICH)
 Malabsorption (coeliac disease)
 IBD (UC/Crohn’s disease)
 Cancer of esophagus, liver, bowel
 Hepatic cirrhosis
Clubbing causes

More Related Content

Similar to Infective Endocarditis

Similar to Infective Endocarditis (20)

Unusual case of Heart Failure
Unusual case of Heart FailureUnusual case of Heart Failure
Unusual case of Heart Failure
 
rheumatic_feve for dentist 201`6--DR MAGDI SASI
rheumatic_feve for dentist 201`6--DR MAGDI SASIrheumatic_feve for dentist 201`6--DR MAGDI SASI
rheumatic_feve for dentist 201`6--DR MAGDI SASI
 
rheumatic_feve for dentist 201`6--DR MAGDI SASI
rheumatic_feve for dentist 201`6--DR MAGDI SASIrheumatic_feve for dentist 201`6--DR MAGDI SASI
rheumatic_feve for dentist 201`6--DR MAGDI SASI
 
ECG Simple Approach.pptx
ECG Simple Approach.pptxECG Simple Approach.pptx
ECG Simple Approach.pptx
 
Rheumatic heart disease (Modern Vs Ayurveda)
Rheumatic heart disease (Modern Vs Ayurveda)Rheumatic heart disease (Modern Vs Ayurveda)
Rheumatic heart disease (Modern Vs Ayurveda)
 
ECG summary.pdf
ECG summary.pdfECG summary.pdf
ECG summary.pdf
 
fggh
fgghfggh
fggh
 
THALASSEMIA: VENTRICULAR DYSFUNCTION ASSESSMENT
THALASSEMIA: VENTRICULAR DYSFUNCTION ASSESSMENTTHALASSEMIA: VENTRICULAR DYSFUNCTION ASSESSMENT
THALASSEMIA: VENTRICULAR DYSFUNCTION ASSESSMENT
 
Heart Failure Approach class.pptx
Heart Failure Approach class.pptxHeart Failure Approach class.pptx
Heart Failure Approach class.pptx
 
ICCU ECGs
ICCU ECGsICCU ECGs
ICCU ECGs
 
brief prabowo nsteacs.pptx
brief prabowo nsteacs.pptxbrief prabowo nsteacs.pptx
brief prabowo nsteacs.pptx
 
Heart Failure approach 2022.pdf
Heart Failure approach 2022.pdfHeart Failure approach 2022.pdf
Heart Failure approach 2022.pdf
 
Scm 03 dec 2016
Scm 03 dec 2016Scm 03 dec 2016
Scm 03 dec 2016
 
Kronologis Tn Darsono - Tim jaga Jumat malam.pptx
Kronologis Tn Darsono - Tim jaga Jumat malam.pptxKronologis Tn Darsono - Tim jaga Jumat malam.pptx
Kronologis Tn Darsono - Tim jaga Jumat malam.pptx
 
Shock in children-revppt
Shock in children-revpptShock in children-revppt
Shock in children-revppt
 
Saturday Clinical Meeting
Saturday Clinical MeetingSaturday Clinical Meeting
Saturday Clinical Meeting
 
Cardiology-Slides.pptx
Cardiology-Slides.pptxCardiology-Slides.pptx
Cardiology-Slides.pptx
 
05 Bleeding Disorders In Children
05  Bleeding  Disorders In  Children05  Bleeding  Disorders In  Children
05 Bleeding Disorders In Children
 
Congenital Heart Disease
Congenital Heart DiseaseCongenital Heart Disease
Congenital Heart Disease
 
Pe 2
Pe 2Pe 2
Pe 2
 

Recently uploaded

VIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and Night
VIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and NightVIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and Night
VIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and Nightpatanjali9823#S07
 
ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATROROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATROKanhu Charan
 
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...ocean4396
 
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019Akash Agnihotri
 
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...pinkpowder997723
 
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUELCONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUELMKARTHIKEMMANUEL
 
Sonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxSonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxpalsonia139
 
Mgr university bsc nursing adult health previous question paper with answers
Mgr university  bsc nursing adult health previous question paper with answersMgr university  bsc nursing adult health previous question paper with answers
Mgr university bsc nursing adult health previous question paper with answersShafnaP5
 
How to buy 5cladba precursor raw 5cl-adb-a raw material
How to buy 5cladba precursor raw 5cl-adb-a raw materialHow to buy 5cladba precursor raw 5cl-adb-a raw material
How to buy 5cladba precursor raw 5cl-adb-a raw materialSherrylee83
 
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsCytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsMedicoseAcademics
 
Treatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas HospitalTreatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas HospitalGokuldas Hospital
 
ESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failureESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failuremahiavy26
 
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptxGross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptxDr. Rabia Inam Gandapore
 
Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...
Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...
Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...Health Kinesiology Natural Bioenergetics
 
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time  modality -Dr Ayman Se...Renal Replacement Therapy in Acute Kidney Injury -time  modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...Ayman Seddik
 
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdfSEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdfSachin Sharma
 
Quality control tests of suppository ...
Quality control tests  of suppository ...Quality control tests  of suppository ...
Quality control tests of suppository ...Hasnat Tariq
 
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...marcuskenyatta275
 
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...marcuskenyatta275
 
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door StepBangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Stepdarmandersingh4580
 

Recently uploaded (20)

VIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and Night
VIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and NightVIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and Night
VIP Pune 7877925207 WhatsApp: Me All Time Serviℂe Available Day and Night
 
ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATROROSE  CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
ROSE CASE SPINAL SBRT BY DR KANHU CHARAN PATRO
 
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
CAS 110-63-4 BDO Liquid 1,4-Butanediol 1 4 BDO Warehouse Supply For Excellent...
 
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
 
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...
 
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUELCONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
 
Sonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxSonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptx
 
Mgr university bsc nursing adult health previous question paper with answers
Mgr university  bsc nursing adult health previous question paper with answersMgr university  bsc nursing adult health previous question paper with answers
Mgr university bsc nursing adult health previous question paper with answers
 
How to buy 5cladba precursor raw 5cl-adb-a raw material
How to buy 5cladba precursor raw 5cl-adb-a raw materialHow to buy 5cladba precursor raw 5cl-adb-a raw material
How to buy 5cladba precursor raw 5cl-adb-a raw material
 
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsCytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
 
Treatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas HospitalTreatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas Hospital
 
ESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failureESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failure
 
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptxGross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
 
Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...
Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...
Unlocking Holistic Wellness: Addressing Depression, Mental Well-Being, and St...
 
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time  modality -Dr Ayman Se...Renal Replacement Therapy in Acute Kidney Injury -time  modality -Dr Ayman Se...
Renal Replacement Therapy in Acute Kidney Injury -time modality -Dr Ayman Se...
 
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdfSEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
 
Quality control tests of suppository ...
Quality control tests  of suppository ...Quality control tests  of suppository ...
Quality control tests of suppository ...
 
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
 
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
 
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door StepBangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
 

Infective Endocarditis

  • 2. Native valve IE – mitral (staph) ABE HAIE – >72 hr &w in 60 dys S.au CAIE – Strepto SABE S.virid Prosthetic valve endo Early - <2mth,2-12 mth – CONS Late – S.virid IVD abusers S.aureus Left sided IE (R> L shunt) e.g. PFO S. au & enterococci
  • 4.
  • 5. MODIFIED FRAMINGHAMS CRITERIA FOR DIAGNOSIS OF CHF DX =2 MAJOR OR 1 MAJOR AND TWO MINOR CRITERIA NOT ATTRIBUTED TO OTHER MEDICAL CONDITIONS Major criteria Paroxysmal nocturnal dyspnea Orthopnea Elevated JVP Third heart sound Pulmonary rales Cardiomegally on chest x ray Pulmonary edema on chest x ray Weight loss >= 4.5 kg in five days in response to treatment of presumed CHF 5
  • 6. Minor criteria Bilateral leg edema Nocturnal cough Dyspnea on ordinary exertion Hepatomegaly Pleural effusion Tachycardia ( HR >= 120 bpm) Weight loss > = 4.5 kg in five days 6
  • 7. WRITING COMPLETE DX OF CHF      
  • 8.
  • 9.
  • 10. Respiratory causes (SLAM)  Suppurative lung disease (bronchiectasis, cystic fibrosis, empyema, lung abscess)  Lung cancer  Alveolitis (fibrosing)  Mesothelioma Cardiovascular causes (CIA)  Cyanotic heart disease  Infective endocarditis  Atrial myxoma Gastrointestinal causes (MICH)  Malabsorption (coeliac disease)  IBD (UC/Crohn’s disease)  Cancer of esophagus, liver, bowel  Hepatic cirrhosis Clubbing causes