Rheumatic Heart Disease - Clinical Presentation & Diagnosis
Rheumatic heart disease is a major burden in developing countries where it causes maximum cardiovascular morbidity and mortality in young people. Acute rheumatic fever is the precursor to rheumatic heart disease. ARF can lead to irreversible valve damage and heart failure. Mitral valve incompetence is the most common valvular lesion in patients with rheumatic heart disease, particularly in early stages. Mitral stenosis usually develops later. A transthoracic echocardiogram is sensitive and specific for detection of rheumatic heart disease.
As we know ARF LEAKS KNEES AND BITES THE HEART yes RHD are a measure disease burden on developing countries where not only economically but socially also affected Most common streptococcal infection in childhood from URTI to tonsilitis treated casually as neither pt or pts attendant are worried of completing the course of antibiotics nor service provider is taking pain to explain the consequences of improper and incomplete treatment SOB and ANAEMIA are most common presenting symptoms there too neither investigated deeply nor heart complication are considered rather superficially approached ie giving iron or multivitamins Here my concern is scientific approach to fever with artheralgia specifically in todlers to adulthood Auscaltation can provide many signs like murmurs and thrilling upbeats third sound or split heart sound supported by ECG and 2decho Yes penicillin and now recent derivatives like piperacillin are effective to radically treat streptococcal infections
Rheumatic hear disease very common in low socioeconomic circles. Streptococcal tonsillitis leading rheumatic heart disease , glomerulonephritis and rheumatic polyarthritis . In penidural 300,000 I.m. ASO titre to monitor streptococcal infection
Nice compilation of disease... good for all to refresh knowledge and for learning...
Very good illustration with very nice explaination,very informative.kindly make it available as PDF
Excellent representation
Excellent
Nice informative post Doctor
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Useful information thanks
Cases that would interest you
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a 27 yr female , SOB grade 4 since 5 days,her hb is 6.7gms ,b/l pedal. edema, 2d echo was EF 45% ,RF positive, ESR 70 1st hour ,now she is on O2 inhalation through mask 3 lit,inj piptaz 4.5 gr and inj moxiflox,inj dexamethasone,inj pan 40, any modifications regarding medication and management, advised 2units PRBC,pleural taping was unsuccessful,??? thankyou
Dr. Polepally Praveen Kumar4 Likes39 Answers - Login to View the image
NH/O Previous medical illness a 32 yrs female admitted with c/o diffculty in breathing,palpitation,cough,swelling on face O/E chest b/l crepts BP 210/120mm/hg P/R 160/min spo2 80at RA pls suggest treatment and diagnose@
Dr. Danish Pasha2 Likes27 Answers - Login to View the image
20 yof co generalised weakness , cough mostly at nyt time since 10 days , aw difficulty in breathing and sleep at nyt , lungs clear . Pain and tenderness at right wrist .since 3 days .Working in textile company .
Dr. Kumar Kumar3 Likes12 Answers - Login to View the image
45F k/c/o CRHD - SEV MR, TR, PAH. Dilated LA,RA. Good LV function, Hypothyroidism, Hypertension presented with SOB, Swelling of lower limbs, easy fatiguability since a month. She had H/o Anemia and recurrent blood transfusions since 3 years. O/e pallor ++++ b/l pitting pedal edema+ cvs: SM+, loud p2 Rs: b/l AE+ P/a: mild distension, Splenomegaly+ PS report attached. kindly suggest ddx and Rx
Dr. Ravikanth Moka1 Like8 Answers - Login to View the image
1 1/2 yrs ,MCH,s sugarcane's cutter by occupation,noticed swelling increased over daytime since 8 days hands ,wrist ,foot,ankle ,legs lethargic @Dr. Pruthviraj Pruthviraj
Dr. Jitendra Chavan2 Likes23 Answers
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