CLINICAL MEDICINE

MEDICINE

CARDIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
About Duke criteria, which one is not correct?
A
Positive blood culture for typical infective endocarditis organism is one of major criteria.
B
Evidence of endocardial involvement is one of the major criteria.
C
Fever>37
D
immunological phenomena include Osler’s node and Roth’s spots
Explanation: 

Detailed explanation-1: -Echocardiographic evidence of endocardial involvement: Oscillating intracardiac mass on a heart valve, on supporting structures, in the path of regurgitant jets, or on implanted material without another anatomic explanation.

Detailed explanation-2: -Prolonged fever (Fever of Unknown Origin). Fever and vascular phenomena (stroke, limb ischemia, physical findings of septic emboli). Persistently positive blood cultures (2 or more). Prosthetic valves who are febrile. Injection drug users who are febrile. More items

Detailed explanation-3: -Predisopition: predisposing heart condition or intravenous drug use. Fever: higher than 38.0°C (100.4°F) Vascular phenomena: major arterial emboli, septic pulmonary infarcts, mycotic aneurysm, intracranial hemorrhage, conjunctival hemorrhages, Janeway lesions. More items

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