Rheumatic Fever Flashcards

1
Q

How do they present

A
signs and symptoms appears 2-3 weeks post pharyngeal infection in age 5-15 children 
fever 
tiredness 
heart failure 
painful joints 
poor appetite/ weight loss
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2
Q

How do they present

A
signs and symptoms appears 2-3 weeks post pharyngeal infection in age 5-15 children 
fever 
tiredness 
heart failure 
painful joints 
poor appetite/ weight loss
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3
Q

Jones Criteria

A
Major 
carditis 
polyarthritis 
syndenham chorea 
erythema marginatum 
subcutaneous nodules 
Minor 
prolonged PR interval on ECG 
arthralgia 
previous Hx or evidence of RF 
fever 
acute phase reactants : increase CRP, ESR, WBC
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4
Q

Treatment of GAS pharyngitis

A

Benzathine penicillin G - stat IMI

Penicillin V - 3 doses before meals po - 10 days (compliance)

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5
Q

Secondary prevention

A

RF prophylaxis
Benzathine penicillin G - IMI
Penicillin VK - 250mg bd - po

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6
Q

Jones Criteria

A
Major 
carditis 
polyarthritis 
syndenham chorea 
erythema marginatum 
subcutaneous nodules 
Minor 
prolonged PR interval on ECG 
arthralgia 
previous Hx or evidence of RF 
fever 
acute phase reactants : increase CRP, ESR, WBC
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7
Q

Treatment of GAS pharyngitis

A

Benzathine penicillin G - stat IMI

Penicillin V - 3 doses before meals po - 10 days (compliance)

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8
Q

Secondary prevention

A

RF prophylaxis
Benzathine penicillin G - IMI
Penicillin VK - 250mg bd - po

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