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A 56-year-old male comes to your clinic requesting advice after recent cardiac surgery. The patient had a long-standing murmur and was diagnosed with mitral stenosis. He eventually underwent repair with a prosthetic valve and his symptoms of dyspnea have resolved. He has resumed physical activity and seeks to maintain his current health. He wants advice on future procedures and possible risk of infection.Which procedure warrants antibiotic prophylaxis to prevent endocarditis?Ask StudybuddyGroup of answer choicesColonoscopyEGDBronchoscopy without biopsyDilatation ureteral strictureWisdom tooth extraction

Question

A 56-year-old male comes to your clinic requesting advice after recent cardiac surgery. The patient had a long-standing murmur and was diagnosed with mitral stenosis. He eventually underwent repair with a prosthetic valve and his symptoms of dyspnea have resolved. He has resumed physical activity and seeks to maintain his current health. He wants advice on future procedures and possible risk of infection.Which procedure warrants antibiotic prophylaxis to prevent endocarditis?Ask StudybuddyGroup of answer choicesColonoscopyEGDBronchoscopy without biopsyDilatation ureteral strictureWisdom tooth extraction

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Solution

The procedure that warrants antibiotic prophylaxis to prevent endocarditis in this case is the wisdom tooth extraction. Dental procedures, especially those that involve manipulation of the gingival tissue or the periapical region of teeth, or perforation of the oral mucosa carry a risk of bacteremia and hence, potential for infective endocarditis. Therefore, patients with

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