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This Concept Map, created with IHMC CmapTools, has information related to: Cardiovascular Infections, Acute NVE/IVDU-IE: Vancomycin PVE: Vancomycin+Gentamicin+ Cefepime OR Carbapenem, Cardiac Tamponade Presentation Beck's Triad Hypotension, Distended Neck Veins, Distant heart sounds), Viridans Streptococci (Low virulence) Produce Small vegetations, Pericarditis Main Symptom Sharp, retrosternal pain that radiates to neck, shoulders, and back; Worsened by inspiration, Encocarditis Signs and Symptoms FROM JANE (Fever, Roth Spots, Oslers nodes, Murmurs, Janeway lesions, Nail bed hemorrhage, emboli), Encocarditis Types Subacute (Infection of abnormal valves; often S.viridans), Encocarditis Diagnostic Test -CXR -Echo (Major) -Elevated troponin, creatine kinase levels -Blood culture (Major) -Saddle shaped ST changes on EKG, Encocarditis Treatment Acute, NVE: Beta lactam OR Vancomycin+ Gentamicin PVE: Penicillin OR Amoxicillin + Vancomycin PVE w/ OSSA Naficillin OR Oxacillin + Cefazolin (1st gen Cepha), S.Aureus (High viruelence) Produces Large destructive vegetations, Myocarditis Causes -Coxsackie B*** -Trypanosoma Cruzii -Lyme Disease (Borrelia Burgdorferi) -Toxplasma Gondii, Encocarditis Mechanisms of Entry -Dental procedures -Injection with infected needles -Wounds/Abcesses, Myocarditis EKG Changes -Sinus tachycardia -T wave inversion -Saddle shaped ST segment, S.Aureus (High viruelence) Found on Skin, Myocarditis Diagnosis -Lab Cultures -CXR -Tissue Biopsy, Myocarditis Signs and Symptoms -Positional Chest Pain -Arrhythmia, Fatigue, Fever, SOB -Can develop into HF w/ edema, Vegetations Composed of fibrin, leukocytes, microbes attach to thrombosis → abnormal growth → potential embolism, Encocarditis Types Prosthetic (Infection of prosthetic valves; usually Staph epi), Encocarditis Special Types -Libman Sacks (Associated w/ SLE), Cardiovascular Infections Myocarditis