Major Criteria:
1.Carditis
2.Polyarthritis
3.Chorea
4.Erythema marginatum
5.Subcutaneous nodules
Minor Criteria:
1.Fever
2.Arthralgia
3.Previous rheumatic
fever
4.Raised
ESR
5.Leucocytosis
6.First - degree AV block
C/F:
Symptoms :
*Fever
*Joint pains which is migratory
*Malaise
*Loss of appetite
*Abnormal dancing movement
*Symptoms of Carditis --Dyspnoea,Chest pain,swelling of the legs
Sign:
*Raised temperature
*Features of arthritis in different large joints
*Sydenhams chorea
*Odema
*Erythema marginatum
*subcutaneous nodules
*signs of carditis
Investigation ::
a)Evidence of a systemic illness:
Leucocytosis, raised ESR,Raised CRP
b)Evidence of preceding streptococcal infection
-Throat swab culture:
-Antistreptolysin O antibodies
c)Evidence of carditis:
-Chest X ray
-ECG
-Echocardiography
Treatment of acute attack :
1.Antibiotic :
2.Bed rest supportive therapy
3.Aspirin:
4.Corticosteriods
Secondary Prevention:
a)Evidence of a systemic illness:
Leucocytosis, raised ESR,Raised CRP
b)Evidence of preceding streptococcal infection
-Throat swab culture:
-Antistreptolysin O antibodies
c)Evidence of carditis:
-Chest X ray
-ECG
-Echocardiography
Treatment of acute attack :
1.Antibiotic :
2.Bed rest supportive therapy
3.Aspirin:
4.Corticosteriods
Secondary Prevention:
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