BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 发热/寒战
  • 盗汗、倦怠、乏力、食欲不振、体重减轻、肌肉痛
  • 无力
  • 关节痛

其他诊断因素

  • 甲床出血
  • 皮肤坏死
  • 胸痛
  • 腰背痛

危险因素

  • 既往感染性心内膜炎病史
  • 存在人工心脏瓣膜修复
  • 某些类型的先天性心脏病
  • 心脏移植后(心脏瓣膜病变患者)

诊断性检查

首要检查

  • 全血细胞计数
  • 血清生化检查和葡萄糖检测
  • 尿液检查
  • 血培养
全部具体信息

需要考虑的检查

  • 类风湿因子
  • 红细胞沉降率
  • 补体水平
  • 计算机断层扫描
全部具体信息

治疗流程

贡献者

Cardiology Specialist Registrar and Clinical Research Fellow

Department of Cardiovascular Sciences

St George's Hospital Medical School

University of London

London

UK

利益冲突披露
TKA declares that she has no competing interests.

Cardiology Specialist Registrar and Clinical Research Fellow

Department of Cardiovascular Sciences

St George's Hospital Medical School

University of London

London

UK

利益冲突披露
AM is an author of a number of references cited in this monograph.

Clinical Lecturer in Cardiology

St George's University of London

London

UK

利益冲突披露
MP declares that he has no competing interests.

Dr Tracey Keteepe-Arachi, Dr Aneil Malhotra, and Dr Michael Papadakis would like to gratefully acknowledge Professor Sanjay Sharma, Dr Jason C. Schultz, Dr Nisha K. Lassi, and Dr Nandan S. Anavekar, previous contributors to this monograph. JCS, NKL, NSA, and SS declare that they have no competing interests.

同行评议专家 查看所有

Professor of Pediatrics

SMIMER Hospital

Gujarat

India

利益冲突披露
VD declares that she has no competing interests.

Director

Clinical Epidemiology Unit

Marilia Medical School

Sao Paulo

Brazil

利益冲突披露
LOC declares that she has no competing interests.

Associate Professor of Medicine

Director, Cardiovascular Disease Fellowship Program

Duke University Medical Center

Durham

NC

利益冲突披露
AW declares that he has no competing interests.

使用此内容应接受我们的免责声明