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Flashcards in peds48 Deck (10):
1

minor features of rheumatic fever

fever, arthralgias, leukocytosis, increased ESR, prolonged PR interval

2

diagnosis for rheumatic fever

jones criteria; requires two major or one major and two minor

3

serologic markers in rheumatic fever

antistreptolysin O; anti-Dnase and anti-hyaluronidase antibodies

4

management of rheumatic fever

eradication of strep infx; control of inflamm with NSAIDs only after dx been made; steroids for patients w severe heart involvement; longterm antimicrob prophylaxis

5

prognosis of rheumatic fever

no chronic sequelae of joint, skin, CNS manifestations; severe heart valve dysfunction/insuff

6

lyme disease

caused by burrelia burgdorferi that goes into blood stream w tick bite; tick must be attached for 36-48 hours before risk of transmission becomes substantial

7

early localized lyme disease

target rash; constitutional symptoms

8

early disseminated disease

within 1-4 months after the tick bite; cutaneous findings plus skin, constitutional, neuro, cardiac findings

9

late disease

5-12 months after transmission; occurs in 7% of kids; hallmark is arthritis

10

lab dx of lyme disease

two step procedure: ELISA then western blot for antibodies to B burgdorferi