MEDICINE
CARDIOLOGY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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IV drug abuser
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coronary artery disease status post stenting
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mitral regurgitation status post mitral replacement
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atrial septum defect
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Detailed explanation-1: -Endocarditis occurs most often in adults over age 60. Artificial heart valves. Germs are more likely to attach to an artificial (prosthetic) heart valve than to a regular heart valve. Damaged heart valves.
Detailed explanation-2: -Minor criteria are fever, predisposing cardiac condition, vascular phenomena, immunological phenomena and microbiologic and echocardiogram evidence which are not fulfilling the major criterion. Simultaneous presence of the two major criteria allows the clinical diagnosis of definite IE.
Detailed explanation-3: -Standard indications for surgery are severe heart failure, severe valve dysfunction, prosthetic valve infection, invasion beyond the valve leaflets, recurrent systemic embolization, large mobile vegetations, or persistent sepsis despite adequate antibiotic therapy for more than 5–7 days.