Dukes Criteria for IE

 a bit about Dukes Criteria .
Major :
Little scarry bug
•  viridans streptococci, Streptococcus bovis, or HACEK group , or
•  community-acquired Staphylococcus aureus or enterococci, in the absence of a primary focus

 

on the Heart  what is seen ?

• perivascular abcess
• prosthethic valve
• valvular regurgitation.. newly formed...

Minor criteria ..

Clinical SiGN 

Osler Nodules

 Flat, painless, erythematous lesions 

-roth spot
-splinter H/r






IE, risk factor for old age patient, drug abuse-narcotic IV,  went to OT( tooth extraction, tonsilectomy, obs n gyne procedures and etc), Prosthetic Valve Replacement, Cardiac Transplant....

IE onset with Fever followed with Chille.
Aneamic Syndrome : pallor, asthernic, fatigue and weakness. Why? huporegeneration anemia ( blood analysis may show leococytopenia).. due to Bone marrow suppression .. which later lead to Spleenomegaly.. compensatory .

IE morphology in echocardiogram commonly is vegetation and perforation of valve.. most common is aourtic valve( diff diagnose with RF=>Mitral Valve)

                                                              vegetation of aoutic valve lealet 

main target organ of damage for  IE is heart .. infective endocardial surface...

enuf for today... sambung esok ... heheheheh