Rheumatic Fever

Question 1

Major and minor criteria

Answer 1

J – Joint involvement which is usually migratory and inflammatory joint involvement that starts in the lower joints and ascends to upper joints
O – (“O” Looks like heart shape) – indicating that patients can develop myocarditis or inflammation of the heart
N – Nodules that are subcutaneous
E – Erythema marginatum which is a rash of ring-like lesions that can start in the trunk or arms. When joined with other rings, it can create a snake-like appearance
S – Sydenham chorea is a late feature which is characterized by jerky, uncontrollable, and purposeless movements resembling twitches

Minor criteria include
C – CRP Increased
A – Arthralgia
F – Fever
E – Elevated ESR
P – Prolonged PR Interval
A – Anamesis
L – Leukocytosis

Question 2

Criteria for acute ARF?

Answer 2

2major or
1major, 2 minor
+evidence of a preceding group a strep infection

Question 3

Criteria for recurrence of ARF?

Answer 3

2 major or
1major + 3minor or
3 minor
+evidence of a preceding group a strep infection

Question 4

What is the rash in rheumatic fever?

Answer 4

Erythema Marginatum