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MCQs in Tropical Medicine

Rob Skelly DTM+H FRCP

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Infective endocarditis

F T T T T

Erythema marginatum is a major criterion for the diagnosis of rheumatic fever. Those with a past history of rheumatic fever are at increased risk of developing infective endocarditis.

Table 49

Clinical features of infective endocarditis
fever
heart murmurs
malaise
splinter haemorrhages
Janeway lesions (non-tender macules)
Roth spots (due to retinal vasculitis)
Osler's nodes (in pulp spaces)
heart failure
haematuria
proteinuria
arthralgia
clubbing (in subacute cases)
mycotic aneurysms
splenomegaly




 
Copyright: Rob Skelly 2006