RHEUMATIC HEART DISEASE

Question 1

Etiologi

Answer 1

autoimun thd GABHS

Question 2

PP untuk RF

Answer 2

ASTO, LED, CRP, ECG, ECHO

Question 3

GK RF

Answer 3

fever >38
batuk, nyeri tenggorok, KGB membesar, eksudat tonsil
migratory polyarthritis, monoarthritis, syndeham chorea, LED dan CRP meningkat, gangguan jantung (regurgitasi mitral, aorta, gagal jantung)

Question 4

tanda gagal jantung RF

Answer 4

s3 gallop, cardiomegaly, edema, ronkhi basah

Question 5

tatalaksana gagal jantung RF

Answer 5

prednison 4mg/kg, B blocker, ACE, loop diuretic, KSR

Question 6

perbedaan regurgitasi mitral dan aorta

Answer 6

mitral : murmur pansistolik decresendo
aorta : murmur diastolik decresendo

Question 7

murmur carey-coombs

Answer 7

mirip regurgitasi mitral tanpa opening snap

Question 8

tatalaksana RF

Answer 8

antibiotik first line
benzatine penicillin G 0,6-1,2 juta unit/hari IM

Question 9

second line RF

Answer 9

erythromycine 40mg/kg dibagi 2 dosis

Question 10

tatalaksana migratory polyarthritis

Answer 10

aspirin 100mg/kg dibagi 4 dosis

Question 11

lama pengobatan benzatine penicilline G

Answer 11

5 tahun atau sampai 21 tahun
kalau ada carditis 10 tahun

Question 12

kriteria Jones untuk RF

Answer 12

bukti diagnosis
1. kultur positif
2. tes cepat positif
3. ASTO meningkat

major
J oint involvement (polyarthritis)
O looks heart
N odul subkutan
E ritema marginatum
S yndeham Chorea

minor
C rp and LED elevated
A rthalgia monoarthritis
F ever >38
I nterval PR memanjang

Question 13

syarat diagnosis DRA baru

Answer 13

bukti diagnosis + 2 major / 1 major 2 minor

Question 14

syarat diagnosis DRA berulang

Answer 14

bukti diagnosis + 2 major / 1 major 2 minor / 3 minor