USMLE Forum Archives - USMLE Step 3 - IE prophylaxis
IE prophylaxis
InSitu - 06-21-06 02:18
IE prophylaxis not required for:
1. Small ASD of secundum type
1. MVP without mitral regurgitation
Please add
InSitu - 06-21-06 02:18
IE prophylaxis not required for:
1. Small ASD of secundum type
1. MVP without mitral regurgitation
Please add
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#1
Re: IE prophylaxis ikea - 06-27-06 08:48 Addition:(Px not recommended)
Cardiac catheterization-(including balloon angioplasty)?
Procedure with flexible scope
#2
Re: IE prophylaxis Youngdoctor - 07-19-06 05:30 :huh:
What else could be here,any good suggestions ,please you all are welcome.I am looking forward some more ideas.
#3
ie prophylaxis docraj - 10-01-06 01:11 It should be used in any procedure that has the potential to introduce streptococcus into the blood circulation
#4
Re: IE prophylaxis TheOne - 10-10-06 21:43 Wow, is that really you Doctor???
Conrad Fischer
it's a big pleasure to have your posts here.
I will add that Dental procedures "below the gum line", Renal "cystoscopy, etc.", GI "endoscopy, etc." and Pulmonary "Bronchoscopy, etc." in high risk patients "conginital heart disease, MVP+MR, previous IE, etc." require IE Prophylaxis.
#5
Re: IE prophylaxis Jumana - 10-11-06 05:14 That is Dr. Fischer!!!...wow that is great to see. DocTok community appreciates your kind help doc. =)
#6
Re: IE prophylaxis Jumana - 10-11-06 05:17 Prophylaxis is required if there is BOTH and increased risk of bacteremia such as dental work with blood AND a cardiac lesion in which bacteria can stick.
Hence, dental fillings alone do NOT need prophylaxis because they do not cause bleeding. Even if you have a high risk cardiac lesion such as VSD, MR, AR or AS. You must have BOTH the risky procedure AND the risky lesion.
Other examples of procedures NOT needing prophylaxis are flexible endoscopy, and gyn procedures.
good luck y'all!
Conrad Fischer
In real life if there is an active lower GI bleed and endoscopy...would that be considered a risk and therefore prophylaxis?
#7
Re: IE prophylaxis TheOne - 10-11-06 11:53 hi ination,
In real life, Active Lower GI bleeding + Endoscopy are NOT indications for IE prophylaxis.
#8
Re: IE prophylaxis foster - 04-09-07 12:48 its also important to know which procedures do not require IE prophylaxis and which require it! often tested on the exam. To get detailed reviews on these topics visit www.usmlesculptor.com/page4.html
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