Endocarditis, Myocarditis and Pericarditis – 18 Board-Style Cases with Answers

What this deck covers

Endocarditis, Myocarditis and Pericarditis in 18 board-style clinical 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, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Not in any previous letter
2. Three sticks before the drip
3. Which one on the list
4. How much, and when
5. Slow one, fast one
6. Blood in the urine too
7. Nothing seen on day one
8. Twelve days and worsening
9. Ten days after a cold
10. The number nobody questioned
11. Wrong ward, wrong hour
12. He noticed nothing at all
13. Better leaning forward
14. What stops it coming back
15. Weaker on every breath in
16. Measured with a cuff
17. Two years after treatment
18. Thick, and from the hip

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A lymphoma, A 10-year-old with a prosthetic valve, Iron deficiency from poor intake, As indicating a different site of infection, The dilating ventricle alone, Myocarditis, The abdominal pain, Immunoglobulin on the general ward, Inflammation of the heart muscle, in, Corticosteroids, Severe anaemia, in, Chronic liver disease following his treatment.

Clinical pearls from this deck

• Read the last clinic letter before you listen. A murmur is only new if you know the old one.
• One dose of antibiotic can cost you the organism and six weeks of guessing.
• The list is short and it is worth learning. Everyone else gets a toothbrush, not an antibiotic.
• One dose, one hour before. If it is forgotten, two hours after still counts.
• Slow and after the dentist, or fast and through a line. The story names the organism.
• Blood in the urine sends people to the kidneys. In this child it should send them to the cultures.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Cardiology Board Questions case decks · pediatric reference values.