15 yrs female suffering from pain chest since 1 month,no cough ,no fever,chest clear,mild tender at rt.side.bowel(N), bladder (N)....ASO titre positive x ray chest attached, she is on oral pentids...good results, your opinion plz...

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Rheumatic Fever. Please also do blood culture and sensitivity 3 samples.

Ok sir
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Rheumatic fever are thear and still Mitral Valve is normal Pt. Require prophylactic Benzene penicillin LA- 12 every 21 days till Pt. Age became 21yrs Then repite ASO Titre.

Excuse me, according to what you diagnosed her as rheumatic fever?
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Rheumatic fever inj penidura 24 lacs once a month with eosinophilic with mitral valve prolapse ESR 50 ref to cardiac surgeon with hetrazan 100 tds 21 days Mt

MILD MITRAL VALVE PROLAPSE IS PRESENT ALONG WITH HIGH ASO TITRE. VALVULAR DEFECT HAS BEEN STARTED.

One has to complete the investigations to reach the diagnosis.we have to follow John’s criteria-CBC,ESR, tn proteins,.Carditi-Tachycardia,ECG to see PRinterval,amy Murmur

No murmur sir
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Rheumatic fever. Complete bed rest, inj benzathine penicillin. Start aspirin ar 100mg per kg per day. Strict bed rest. Sleeping HR monitoring. Monitor esr sequencially

Ok sir thank s
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Opinion of cardiologist

Ok sir, thanks
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what about other joints, to have diagnosis of rheu.fever/rhd should have fillfulment of other criteria also ,which is not mentioned aso is for recent strepto.infection,,pt .may have costochondritis\teitzs .but treat with tab penicillin for 10 days.

Thank u sir
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Rheumatic fever.get done crp,cbc,x-ray chest

Thanks sir,but what about mild MVP
1

Throat swab culture,Echocardiography,c.reactive,ASO titre.Any evidence of Choreaor findings of Rheima

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