Step I nonbacterial endocarditis

[MudPhud20XX]

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FA lists 3 examples of nonbacterial endocarditis:

1. malignancy
2. hypercoagulable state
3. lupus

So are these considered as "subacute?" Or are they in a different category?

 

[cyberchicken001]

I think the acute/subacute distinction only applies to bacterial endocarditis, and NBTE is a category unto itself.

 

[masaraksh]

Sounds about right, also, remember that carcinoid syndrome comes up.

 

[tasar1898]

Also remember if they describe a non - destructive vegetation in pt with OBVIOUS metastatic carcinoma , the lesion is marantic endocarditis due to hyper coagulable state and NOT metastasis

 

[tvelocity514]

Also remember if they describe a non - destructive vegetation in pt with OBVIOUS metastatic carcinoma , the lesion is marantic endocarditis due to hyper coagulable state and NOT metastasis

Why hypercoag and not due to mets?

 

[walakin25]

its basically stuff released by the cancer predisposing to a hypercoagulable state rather than the cancer itself hitting the valves.. classically adenocarcinomas (ie pancreatic) releasing tissue factor.. same concept as trousseau sign of malignancy

 

[tasar1898]

@tvelocity514 the key phrase is NOT-DESTRUCTIVE .. If it was destructive it would be metastasis

 

[tvelocity514]

@tvelocity514 the key phrase is NOT-DESTRUCTIVE .. If it was destructive it would be metastasis

Thanks!!