Infective Endocarditis

What this deck covers

Infective Endocarditis in twelve clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The 12 cases, in order

1. Clinical recognition
2. Physical examination
3. Embolic phenomena
4. Ocular signs
5. Echocardiography
6. Blood cultures
7. Microbiology
8. Diagnostic criteria
9. Imaging strategy
10. Indications for surgery
11. Prophylaxis - who needs it
12. Prophylaxis - what to give

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Rheumatic fever, given the new murmur, A prolonged viral illness with weight loss, Infective endocarditis on the conduit, Occult malignancy presenting with fever, A Janeway lesion, a vascular phenomenon, A splinter haemorrhage, a vascular phenomenon, An Osler node, a vascular phenomenon, An Osler node, an immunological phenomenon, Osler nodes — immune complex deposition, Petechiae from thrombocytopenia, Drug rash from the antibiotic, A Roth spot, an immunological minor criterion, A flame haemorrhage, a vascular phenomenon, One set now, then start antibiotics immediately, Definite endocarditis — two major criteria, Definite endocarditis — five minor criteria, Possible endocarditis — three minor criteria only.

Clinical pearls from this deck

• Infective endocarditis is infection of the endocardial surface — usually a valve, a patch or a conduit.
• An Osler node is a small raised tender nodule on the pulp of a finger or a toe.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.

More from this system: all cardiology decks and question sets · pediatric reference values.