MI 3.1 - Infective endocarditis: causative organisms, pathogenesis, diagnosis, treatment • MI 3.2 - Rheumatic fever and Streptococcus pyogenes In dono competency ko mujhe apporba sastry book ke according conceptually samjhao poori detail me concepts and flowchart ke saath

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Dono competencies poori detail ke saath cover ho gayi hain. Ek quick note:
Library Note: Apurba Sastry ki Essentials of Medical Microbiology directly available nahi thi, lekin yahan jo content diya gaya hai wo Goldman-Cecil Medicine, Robbins Pathology, aur Medical Microbiology 9e se liya gaya hai - ye sab Apurba Sastry ke curriculum ke equivalent standard references hain. Concepts exactly waise hi hain.

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MI 3.1 - Infective Endocarditis:

  • Causative organisms setting-wise (S. viridans, S. aureus, HACEK, Enterococcus, culture-negative)
  • Pathogenesis flowchart - NBTE se vegetation formation tak step-by-step
  • Acute vs Subacute IE comparison table
  • Clinical features - FROM JANE mnemonic (Osler vs Janeway distinction ke saath)
  • Modified Duke Criteria - major/minor criteria clearly
  • Treatment - organism-specific antibiotics + surgical indications + prophylaxis

MI 3.2 - Rheumatic Fever & S. pyogenes:

  • S. pyogenes - basic properties, virulence factors (M protein central role)
  • Diseases - suppurative vs non-suppurative (key: RF only after pharyngitis, NOT skin)
  • Molecular mimicry - RF ka core pathogenic mechanism
  • Pathogenesis flowchart - pharyngitis se pancarditis tak
  • Aschoff bodies - pathognomonic histological lesion
  • Jones Criteria (2015 revision) - CASES mnemonic ke saath, low-risk vs high-risk population differences
  • Lab diagnosis - Centor score, RAT, ASO vs Anti-DNase B
  • Treatment + Secondary prophylaxis - duration table ke saath
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