Term
| which organism is responsible for acute rheumatic fever? |
|
Definition
| GAS untreated or undertreated |
|
|
Term
| how long after strep infection do Sx of ARF come on? |
|
Definition
|
|
Term
| peak age of incidence for ARF: |
|
Definition
|
|
Term
| 6 clinical presentations of ARF: |
|
Definition
1. high fever
2. migratory arthritis involving large joints
3. carditis/valvulitis
4. CNS involvement
5. rash
6. subcutaneous nodules |
|
|
Term
| what is Sydenham's chorea assoc w ARF? |
|
Definition
| rapid, uncoordinated jerking movements affecting primarily the face, feet and hands |
|
|
Term
| which joints are most commonly affected in ARF? |
|
Definition
| knees, elbows, ankles, and wrists |
|
|
Term
| which meds may significantly reduce joint envolvement? |
|
Definition
| salicylates or other anti-inflammatories |
|
|
Term
| what is usually the earliest Sx of ARF? |
|
Definition
|
|
Term
| what is the most common cardiac finding in ARF? |
|
Definition
|
|
Term
| sydenhams chorea usually occurs _______ after infection. |
|
Definition
|
|
Term
| what is often the only manifestation of ARF? |
|
Definition
|
|
Term
| sydenhams chorea usually resolves wn _______ but can last for more than ______ |
|
Definition
| usually resolves wn 2-3 months but can last more than 2 years |
|
|
Term
| sydenhams chorea occurs in __-__% of ARF |
|
Definition
|
|
Term
| subcutaneous nodules occur in __% of cases of ARF: |
|
Definition
|
|
Term
| where do subcu nodules occur on the body from ARF? |
|
Definition
| over bony surface or promenence or tendons |
|
|
Term
| The subcutaneous nodules with ARF are often assoc w: |
|
Definition
|
|
Term
| erythema nodosum occurs in __% of ARF: |
|
Definition
|
|
Term
| erythema nodosum is located where on the body with ARF? |
|
Definition
|
|
Term
| erythema nodosum usually ONLY occurs in ARF pts that also have: |
|
Definition
|
|
Term
| erythema nodosum may apear,disappear and even reappear in a matter of: |
|
Definition
|
|
Term
| what is the name of the criteria used to Dx ARF? |
|
Definition
|
|
Term
| In Jones Criteria there is a high probability of ARF with: |
|
Definition
1. evidence of preceding GAS
2. TWO major manifestations OR one major and two minor manifestations |
|
|
Term
| what are the 5 major manifestations of Jones Criteria? |
|
Definition
1. carditis
2. polyarthritis
3. chorea
4. erythema marginatum
5. subcutaneous nodules |
|
|
Term
| What are the 4 minor manifestations for Jones Criteria? |
|
Definition
1. arthalgia
2. Fever
3. Elevated CRP or ESR
4. prolonged PR interval |
|
|
Term
|
Definition
| CRP,ESR, *elevated or rising GAS Ab Titer |
|
|
Term
| 7 differential Dx for ARF: |
|
Definition
1. RA
2. Osteomyelitis
3. endocarditis
4. chronic meningococcemia
5. lupus
6. Lyme Dz
7. Sickle cell |
|
|
Term
|
Definition
1. rheumatic heart Dz
2. CHF
3. arrhythmias
4. pericarditis w effusion
5. rheumatic pneumonitis |
|
|
Term
|
Definition
1. Sx Tx
2. Eradicate GAS
3. Prophylaxis against future GAS infections to prevent recurrent cardiac dz |
|
|
Term
| rheumatic heart dz usually occurs __-__ years after original attack. |
|
Definition
|
|
Term
| which valve is involved most often in rheumatic heart dz? |
|
Definition
|
|
Term
| duration of prophylaxis in Rheumatic fever with carditis and residual heart dz: |
|
Definition
| 10yrs or until age 40, whichever is longer |
|
|
Term
| duration of prophylaxis in rheumatic fever with carditis and NO heart dz: |
|
Definition
| 10 yrs or until age 21, whichever is longer |
|
|
Term
| duration of prophylaxis in rheumatic fever without carditis: |
|
Definition
| 5yrs or until age 21 whichever is longer |
|
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