Acute rheumatic Fever Flashcards
(7 cards)
1
Q
diagnostic criteria
A
- 2 Major Criteria [JONES
Criteria] or 1 Major + 2
Minor criteria
PLUS+
Evidence of previous
(2-4 weeks previously]
GAS infection [like
pharyngitis]
2
Q
Major Criteria
A
-JONES Criteria
J = joints
polyarthritis)
O = Pancarditis
[Endo,myo,epi ] =rheumatic heart disease
N = Nodules
E = Erythema
marginatum
S = Sydenham
Chorea (jerky movements)
3
Q
Minor Criteria
A
-Fever
-↑ESR & ↑CRP
-Arthralgia(unless there is polyarthritis it considered major )
-Long PR interval
4
Q
Treatment
A
Penicillin or Amoxicillin for 10 days or
1 dose Benzathine
( penicillin IM)
5
Q
allergy to penicillin
A
Macrolides [Erythromycin for 10 days ,
Azithromycin for 5 days or , clindamycin for 10 days]
6
Q
- if Carditis present →
A
Give also Steroids for 2- 3 weeks , then
start with Aspirin for 6 weeks.
7
Q
- if Sydenham chorea present
A
Phenobarbital , then
Haloperidol
