Rheumatic Fever Flashcards
1
Q
tx for group A strectococcal infection
A
PENICILLIN
erythromycin if PCN allergy
2
Q
pts w/ rheumatic valvular disease should receive prophylactic tx for how long?
A
at least 10 years from last episode of RF or until 40 yoa (whichever is LONGER!!)
3
Q
MCC of valvular heart disease in Africa, Asia, South America, and Middle East
A
RF
4
Q
MC consequences of RF
A
MS and MR
5
Q
2nd MC consequence of RF
A
aortic valve
6
Q
what criteria do use to diagnose RF?
A
Jones criteria
7
Q
what are the major criteria for diagnosing RF?
A
- carditis
- polyarthritis
- chorea
- subcutaneous nodules
- erythema marginatum
8
Q
what are the minor criteria for diagnosing RF?
A
- arthralgia
- fever
- elevated ESR
- elevated CRP
- evidence of groupt A streptococcal infection
- prolonged PR interval on ECK
9
Q
how many of the Jones criteria are needed to make a dx of RF?
A
2 major, or 1 major AND 2 minor
10
Q
do you need to treat RF ever if the throat culture is negative for group A strectococci?
A
YES
11
Q
DOC for RF
A
salicylates
