peds48

Question 1

minor features of rheumatic fever

Answer 1

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

Question 2

diagnosis for rheumatic fever

Answer 2

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

Question 3

serologic markers in rheumatic fever

Answer 3

antistreptolysin O; anti-Dnase and anti-hyaluronidase antibodies

Question 4

management of rheumatic fever

Answer 4

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

Question 5

prognosis of rheumatic fever

Answer 5

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

Question 6

lyme disease

Answer 6

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

Question 7

early localized lyme disease

Answer 7

target rash; constitutional symptoms

Question 8

early disseminated disease

Answer 8

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

Question 9

late disease

Answer 9

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

Question 10

lab dx of lyme disease

Answer 10

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