Medicine 549 Infective Endocarditis osler nodes janeway lesions clubbing duke's criteria HACEK 

0:00 Introduction 1:16 Types of IE/ Causes ---Acute - Staphylococcus ---Sub Acute - Teeth Caries Viridans streptococci ---IV Drug Users - Right side affected - Staph, Candida ---Prosthetic Valve ------ less than 60 days Staph ------ more than 60 Staph viridans 3:00 PreDisposing Factors 3:35 Clinical Features - low grade fever, Clubbing, splinter hemorrhage, hematuria 20:27 ---4:50 Osler nodes tender - deposit of septic embolic and immune complex ---Janeway lesions - not tender - erythematous ---6:05 Roth spots -retinal hemorrhage pale center (can be seen in leukemia, lymphoma, anemia etc) ---arthritis ---6:38 Consequences of IE - new or change in murmur, embolism 7:30 Investigations - TransEsophageal echo 8:15 Duke's criteria ---MAJOR ------Blood Culture - 3 times, 3 places etc - Find organism 9:25 ------Echo - vegetation, New onset / change in murmur 11:44 ---12:40 MINOR - Fever, IV Drug user, Osler node, Janeway lesions, roth spots, mycotic aneurysm (misnomer - due to staph), glomerulonephritis ---14:20 2 major or 1 major + 3 minor or all 5 minor 10:04 Negative Culture CAUSES HACEK 17:40 TREATMENT - IV Benzyl Penicillin, Gentamycin etc.. all are IV antibiotics , Surgery - if abscess , fungal etc 16:22 Antibiotics before any surgery - Amoxicillin, Azithromycin 19:10 NON INFECTIVE ENDOCARDITIS - MARANTIC - SLE - libmann sachs

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Nice 👍 explanation madam

which book is this..may i know please

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