A patient with IE features: vegetations on echo, pansystolic murmur, Osler nodes and Janeway lesions. What is the best next step?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. Blood cultures
Echo already shows vegetations, so the next step is three sets of blood cultures before starting antibiotics, to identify the organism and guide therapy. Empiric antibiotics are started right after the cultures are drawn; TEE or CT add nothing once the vegetation is seen.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Empiric antibiotics (covering staphylococci, streptococci and enterococci) are started only after the three sets of blood cultures are drawn.
✓ Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 12 -
B
ليش غلط
TEE is better than TTE for mitral pathology and small aortic vegetations; here echo already shows vegetations, so it is not the next step.
✓ Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 11 -
D
ليش صح
Three sets of blood cultures are drawn before antibiotics in suspected IE, to identify the organism and guide therapy.
✓ Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 12
- المصدر
- Step Up To Medicine 6th (Valvular Heart Disease).pdf · p. 12
CARDIOLOGY- VHD+IE.pdf · p. 17 - المحاضرة
- Valvular Heart Disease · Cardiology · Module B
- ظهر في
- MED41 ♀ EOM B