Answer 49 Infective endocarditis
The following are recognised features of infective endocarditis
False a. erythema marginatum
True b. Roth spots
True c. proteinuria
True d. Osler's nodes
True e. splenomegaly
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 |
