Hello
Diagnosis of ARF and RHD based on modified Jones' criteria - let's review:
a. Primary attack of strep throat and ARF in a child -
2 major manifestations + no minor + 1 labs
or
1 major + 2 minor + 1 labs
b. Recurrent attacks with no established carditis -
same as a.
c. Recurrent ARF with established carditis -
2 minor manifestations + 1 labs
d. Rheumatic chorea - studies found up to 70% pediatric patients presenting with rheumatic chorea have a sub-clinical evidence of rheumatic carditis and valvular heart disease. No labs required to wait for.
e. Clinical RHD - signs and symptoms of valvular abnormalities and myocardial fibrotic changes (which may be only partly reversible if not intervened).
That's all
- Jaskunwar Singh
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