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11 Cards in this Set
- Front
- Back
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How do you Dx acute rheumatic fever
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presence of 2 major or 1 major and 2 minor criteria
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name the major criteria
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J- Migratory Polyarthritis
O- Carditis N- SubQ Nodules E-Erythema marginatum S-Sydenham's chorea |
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what is the Minor criteria
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fever, polyarthralgias, >ESR, reversible prolonged PR interval
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what is Erythema marginatum
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rapidly enlarging macules, ring or crescent shaped with clear center
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Tx of rheumatic fever
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salicylates-relieve joint and fever
Penecillin-1.2 mil units once IM to fight strep Corticosteroids-improves joint symptoms |
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what is rheumatic fever
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systemic immune response following a B-hemolytic strep infection
usually 2-3 wks after infection |
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common valves affected by rheumatic fever
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mitral valve 75-80% of cases
aortic valve 30% of cases |
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Peak incidence of rheumatic fever?
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between 5 and 15 y/o
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method of prophylaxix of rheumatic heart disease
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Penecillin 1.2 million units once a month
If allergic to PCN, give erythromycin |
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how does rheumatic heart disease affect the valves
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Stenosis and insufficiency results; produces rigid and deformed valve cusps and shortening and fusion of the chordae tendineae
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the 4 signs of strep infection
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Centor Criteria
exudative pharyngitis lymphadenopathy fever absence of cough |
