25. Rheumatic fever - etiology, pathogenesis, clinical presentation, evolution, treatment and prevention. Flashcards Preview

cardiology > 25. Rheumatic fever - etiology, pathogenesis, clinical presentation, evolution, treatment and prevention. > Flashcards

Flashcards in 25. Rheumatic fever - etiology, pathogenesis, clinical presentation, evolution, treatment and prevention. Deck (4):
1

what is the aetiology of rheumatic fever

Rheumatic fever is an autoimmune reaction which occurs 2-3 weeks after a pharyngeal infection & can lead to a inflammatory reaction in heart, joints & skin

Beta-hemolytic group A streptococci

2

what is the symptoms for rheumatic heart disease

dyspnea
nocturnal dyspnea - mitra valve stenosis

joints: assymetric polyarthritis of the large joints
Skin:
Subcutaneous rheumatic nodules
Erythema anulare rheumaticum
CNS:
▪ Chrorea minor

3

diagnoses for rheumatic fever

Jones criteria:
o Subcutaneous bleeding o Polyarthritis
o Erythemaanulare
o Chrorea
o Carditis

Antibodies against metabolic products of A-streptococci

4

what is the treatment for rheumatic heart disease

PenicillinV / amoxicillin

penicillin v - epigastric distress, diarrhea, constipation

cephalosprins 1st gen - cephalexin

oral thrush or a new yeast infection.

Treatment against inflammation
o NSAIDS
ibuprofen
chronic ibuprofen use has been found correlated with risk of hypertension[24] and myocardial infarction (heart attack)
dyspepsia,


Naproxen
heartburn,
ulcers and stomach bleeding

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