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Flashcards in Rheumatic fever Deck (14)
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1

What is rheumatic fever

a systemic immune response after Beta-hemolytic Strep of pharynx
Peak is 5-15 y/o but not common in US

2

What valves are rheumatic fever most likely to infect

1. Mitral valve
2. Aortic valve
3. Tricuspid/pulmonary

3

What are minor criteria of rheumatic fever

CAFE P
C- CRP elevated
A- Arthralgia
F- Fever
E- ESR elevated
P- Prolonged PR

4

What are the major manifestations of rheumatic fever

CANCER
C- carditis
A- arthritis
N- nodules
C- chorea
E- erythema marginatum
(R- rheumatic fever)

5

What are some common differentials for rheumatic fever

Rheumatoid arthritis
osteomyelitis
endocarditis
meningitis
SLE
Lyme disease
Sickle cell anemia

6

What diagnostic tests should you get for rheumatic fever

Echo
ECG
CRP or ESR
CBC w/ diff
ASO

7

What is Jones criteria for diagnosing rheumatic fever

2 major criteria OR
1 major and 2 minor criteria OR
3 minor criteria

8

What is the treatment for rheumatic fever

Supportive care (bed rest)
Salicylates (ASA)
Penicillin/Corticosteroids
Patient education (oral health)
Benzathine penicillin IM every 4 weeks to prevent recurrence

9

How long should you give secondary prophylaxis to someone with rheumatic fever

Without carditis: for 5 years or until 21
With carditis but no valve dz: 10 years or until 21
With carditis and valve dz: 10 years or until 40

10

What are some complications of rheumatic fever

rheumatic valve disease
HF, arrhythmias, pericarditis w/ effusion. rheumatic pneumonitis

11

Who can you refer peds patients to

ID
rheumatologist
cardiology

12

What is the major cause of CV disease in developing countries

Rheumatic heart disease (15% of HF in endemic countries)

13

How you you diagnose Rheumatic heart disease

TEE (check for mitral regurg)

14

How do you treat rheumatic heart disease

activity restrictions
prevent IE
treat complications