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Short Answer Questions for ED Fellowship Study

Case: Infective endocarditis

A 36-year-old man with intravenous drug use presents with fever and malaise for three days. His observations are as follows: T38.5, HR 118, BP 101/58, RR 22, Saturations 93% RA You are concerned about infective endocarditis.

1. Outline two major Duke criteria for the diagnosis of infective endocarditis. 2 marks

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2. Outline four minor Duke criteria for the diagnosis of infective endocarditis. 4 marks

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3. List three organisms that could be expected on blood culture in this patient. 3 marks

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You decide to start empirical antibiotic therapy for infective endocarditis. The patient has had no previous cardiac surgery and has no allergies.

4. List three antibiotics including doses you would prescribe empirically. 3 marks

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5. List six potential complications of infective endocarditis. 6 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.