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Chagas` Disease - Bakersfield College
Chagas` Disease - Bakersfield College

... murmur. The patient does not remember being bitten by anything during his time in the Peace Corps, as all Peace Corps volunteers were advised by their commanding officers to use netting and insect repellents and to remain "covered up" whenever possible. The patient has also had no sexual intercourse ...
Learning Objectives
Learning Objectives

... 8. Define the term cardiomyopathy as it relates to both the mechanical and electrical function of the myocardium. 9. Describe the role of genetics in the etiology of the primary cardiomyopathies. 10. Differentiate among the pathophysiologic changes that occur with hypertrophic cardiomyopathy, arrhyt ...
Rheumatic Fever and Heart Disease
Rheumatic Fever and Heart Disease

... 3. Sydenham chorea: a neurologic disorder with involuntary purposeless, rapid movements. ...
INFECTIVE ENDOCARDITIS
INFECTIVE ENDOCARDITIS

... • To be aware of high risk patients who may be susceptible to developing infective endocarditis ...
What`s Going Around - February 2013 Skin infections
What`s Going Around - February 2013 Skin infections

... Gastroenteritis – vomiting, diarrhea, and fever are usual symptoms. Stomach cramps may occur. Hydration with fluids containing calories and electrolytes given as small amounts frequently is the treatment. Body rashes are common. Strep throat: Sore throat, fever, headache, and stomach pain are the us ...
Paediatric Emergency cardiology
Paediatric Emergency cardiology

...  S4 gallop, mid systolic murmur  Increased PVR decreases murmurs ...
RHEUMATIC HEART DISEASE
RHEUMATIC HEART DISEASE

... – Hypersensitivity ( immunological) reaction to “M” protein of Group A streptococci – RF develops weeks after Streptococcal pharyngitis – Antibodies against “M” protein cross react with • Cardiolipins of Heart Rheumatic disease • GBM of Kidney  Post – streptococcal Glomerulonephritis (PIGN/PSGN/ A ...
INTEGRATED PATHOPHYSIOLOGY BTECH TEST 1 MARCH 2007
INTEGRATED PATHOPHYSIOLOGY BTECH TEST 1 MARCH 2007

... R 30/minute, and BP 95/65 mm Hg. Her heart rate is slightly irregular. An ECG shows diffuse ST-T segment changes. A chest x-ray shows mild cardiomegaly. An echocardiogram shows slight mitral and tricuspid regurgitation but no valvular vegetations. Laboratory studies show a troponin I of 12 ng/mL. Sh ...
Warfarin Use in Thrombocytopenic Young Adult Male with Atrial
Warfarin Use in Thrombocytopenic Young Adult Male with Atrial

... Cardiologist at Dustira Hospital, 4Head of Cardiology Department at Dustira Hospital Introduction Prevalence of atrial fibrillation in adult less than 40 years is about 0.1% per year. Fever and thrombocytopenia in rheumatic heart disease are frequently misdiagnosed with viral illness, restraining pa ...
Rheumatic Heart Disease
Rheumatic Heart Disease

... always is associated with mitral and aortic lesions. The pulmonary valve is rarely affected. Severe valve insufficiency during the acute phase may result in congestive heart failure and even death (1% of patients). Pericarditis, when present, rarely affects cardiac function or results in constrictiv ...
Autoimmune Disease
Autoimmune Disease

... Why would the body attack itself? What is the mistake made by the immune system? Hint: In order for the immune system to be successful in defending the body, what two things must it be able to distinguish? ...
Rheumatic heart disease
Rheumatic heart disease

... • The chordae tendineae are also thickened and retracted (shortened) by fibrosis. ...
contact line
contact line

... • The chordae tendineae are also thickened and retracted (shortened) by fibrosis. ...
Lecture 1
Lecture 1

... Anitschkow cells. • Anitschkow cells : have abundant cytoplasm and central round-to-ovoid nuclei in which the chromatin is disposed in ...
Rheumatic involvement of all four cardiac valves - Heart
Rheumatic involvement of all four cardiac valves - Heart

... 20 years previously. She was in atrial fibrillation and mean jugular venous pressure was raised with a prominent V wave and Y descent. The first heart sound was loud with a normally split second sound and an accentuated pulmonary component. There was an opening snap at the apex and lower left sterna ...
Testing for Group A Streptococcal Pharyngitis
Testing for Group A Streptococcal Pharyngitis

... done, whether ordered by a nurse or provider. There is no change in procedure for this age group. For those 21 years of age and over 21 years of age only rapid tests will be done unless there is a clinical reason to do a culture such as previous history of strep complications, symptoms with a known ...
Rheumatic fever: a potentially fatal strep infection com
Rheumatic fever: a potentially fatal strep infection com

... The heart murmur persisted, however, and as it had not been noted previously she was referred for paediatric cardiological assessment. Her electrocardiogram was normal. An echocardiogram showed a small posterior pericardial effusion with thickening of the mitral valve leaflets and shortening of the ...
Infective Endocarditis
Infective Endocarditis

... Common in 3rd world countries Environmental factors-- over crowding, ...
herpangina - River Hills Pediatrics
herpangina - River Hills Pediatrics

... A viral inflammation of the mouth and throat. It may be confused with canker sores, strep throat or herpes. It most often affects young children (1 to 10 years). FREQUENT SIGNS AND SYMPTOMS • Fever. • Sudden sore throat, with redness, inflammation and painful swallowing. • General ill feeling. • Vom ...
Rheumatic heart disease in children: from clinical assessment to
Rheumatic heart disease in children: from clinical assessment to

... by the American Heart Association, but prophylaxis duration is still debated: this can be established upon the presence or absence of cardiac involvement13. Actual management ...
Acquired Heard Diseases - Home
Acquired Heard Diseases - Home

... Occurs in group age ( 6 –15 y/d) peak 8y/d ) *Autoimmune disease occurs as a reaction to group A-beta –hemolytic streptococcal infection . - major body joints - mitral valve - female incident more than male attack of pharyngitis,tonsillitis & scarlet fever. * Assessment : 1. fever 2. systolic murmu ...
Fig. 1: Assessment and treatment of children presenting with abrupt
Fig. 1: Assessment and treatment of children presenting with abrupt

... Preadolescent child with sudden onset or exacerbation of OCD symptoms or tics * Screen for comorbid symptoms: separation anxiety, emotional lability, ADHD symptoms * Take medical history, focusing on a history of symptoms suggestive of streptococcal infection and neurological problems * Perform ment ...
STREPTOCOCCAL INFECTION
STREPTOCOCCAL INFECTION

... be more common in children. A very fine red rash that feels like sandpaper is present. The rash lasts about 2 to 7 days and appears most often on the neck, chest, elbow, and groin, and in the inner thigh and folds of the armpit. The rash fades on pressure and leads to flaking of the skin. The area s ...
Mitral Stenosis at Autopsy - JOURNAL of the Louisiana State
Mitral Stenosis at Autopsy - JOURNAL of the Louisiana State

... State University School of Medicine in New Orleans. Dr. Porterfield is a third year pathology resident, Dr. Ashby is a first year pathology resident, Dr. Newman is a professor of pathology and Dr. McGoey is an associate professor of athology and residency program director. ...
Rheumatic heart disease
Rheumatic heart disease

... • Increased heart rate –decreased transvalvular gradient ----increased LAP • Lv diastolic pressure in normal in ms • Co is normal at rest ---at exercise –decreased ...
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Rheumatic fever



Rheumatic fever, also known as acute rheumatic fever (ARF), is an inflammatory disease that can involve the heart, joints, skin, and brain. The disease typically develops two to four weeks after a throat infection. Signs and symptoms include fever, multiple painful joints, involuntary muscle movements, and a characteristic but uncommon non itchy rash known as erythema marginatum. The heart is involved in about half of cases. Permanent damage to the heart valves, known as rheumatic heart disease (RHD), usually only occurs after multiple attacks but may occasionally occur after a single case of ARF. The damaged valves may result in heart failure. The abnormal valves also increase the risk of the person developing atrial fibrillation and infection of the valves.Acute rheumatic fever may occur following an infection of the throat by the bacteria Streptococcus pyogenes. If it is untreated ARF occurs in up to three percent of people. The underlying mechanism is believed to involve the production of antibodies against a person's own tissues. Some people due to their genetics are more likely to get the disease when exposed to the bacteria than others. Other risk factors include malnutrition and poverty. Diagnosis of ARF is often based on the presence of signs and symptoms in combination with evidence of a recent streptococcal infection.Treating people who have strep throat with antibiotics, such as penicillin, decreases their risk of getting ARF. This often involves testing people with sore throats for the infection, which may not be available in the developing world. Other preventative measures include improved sanitation. In those with ARF and RHD prolonged periods of antibiotics are sometimes recommended. Gradual return to normal activities may occur following an attack. Once RHD develops, treatment is more difficult. Occasionally valve replacement surgery or repair is required. Otherwise complications are treated as per normal.Acute rheumatic fever occurs in about 325,000 children each year and about 18 million people currently have rheumatic heart disease. Those who get ARF are most often between the ages of 5 and 14, with 20% of first-time attacks occurring in adults. The disease is most common in the developing world and among indigenous peoples in the developed world. In 2013 it resulted in 275,000 deaths down from 374,000 deaths in 1990. Most deaths occur in the developing world where as many as 12.5% of people affected may die each year. Descriptions of the condition are believed to date back to at least the 5th century BCE in the writings of Hippocrates. The disease is so named because its symptoms are similar to those of some rheumatic disorders.
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