Rheumatic Heart Disease

Question 1

Rheumatic fever

Answer 1

Inflammatory disease following a beta hemolytic streptococcal pharyngitis, re: strep throat. Get proliferative inflammation on the heart, joints and subq tissue. Symptoms start 1-5 weeks post infection, and peak incidence is at 5-15 years old.

Question 2

Most often involved valve affected with Rheumatic Heart disease

Answer 2

Mitral valve- 75-80% of the time.

Question 3

Lab tests for rheumatic heart disease

Answer 3

none are diagnostic. Can see leukocytosis and anemia in a CBC indicating chronic disease, and can have an elevated ESR and C-reactive protein.

Question 4

Jones criteria needed

Answer 4

2 major OR one major and two minor

Question 5

Major Jones Criteria

Answer 5

Carditis, erythema marginatum, subcutaneous nodules, chorea and arthritis

Question 6

Minor Jones criteria

Answer 6

fever, polyarthralgias, reversible prolongation of PRI, rapid SED rate, hx of rheumatic fever, evidence of Beta-hemolytic streptococcal infection