Rheumatic Heart Disease FAQs - Pediatric Oncall

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Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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	Specialist Answers
Question Category : Rheumatic Heart disease
Sir, what are the clinical features of a). active carditis b). infective endocarditis in a patient of established rheumatic heart disease and how can we differentiate between a and b? Check Out the Answer
Question Category : Rheumatic Heart disease
Why all NSAIDs are not given for the treatment of Rheumatic fever? Check Out the Answer
Question Category : Rheumatic Heart disease
Hello, I am a 20 year old girl n i m suffered from rheumatic fever in may 2002. firstly I was treated with disprin. After 1 month I again had same problem then I was treated with penicillin 120000iu injections. Now for 3 years with interval of 23 days approximately I am given these penicillin 120000IU injections. I m suffering from DEMYELINATION as well since October 2002. I want to ask that for how long will I have 2 continue these injections. Are there some preventions for these, I mean some exercise or something like that. thank you. Check Out the Answer
Question Category : Rheumatic Heart disease
Dear sir, I have a case of rheumatic fever {12 years old} doing well on aspirin. She contracted chicken pox what should be done? Check Out the Answer
Question Category : Rheumatic Heart disease
What are the actions of NSAIDS & steroids in Rheumatic fever? Is there any effective vaccine against Rheumatic fever? Check Out the Answer
Question Category : Rheumatic Heart disease
Why joint pain in acute rheumatic fever is fleeting? 2)WHY ABNORMAL MOVEMENT OF RHEUMATIC CHOREA DISAPPEAR IN SLEEP? 3Differential diagnosis of fleeting joint pain which i know are only two 1-LYME DISEASE 2GONOCOCCAL ARTHRITIS. Are there more d/d? Of these Lyme not seen in India Gonococcal is very rare hence can we conclude that fleeting joint pain occurs in rheumatic fever in our country? Check Out the Answer
Question Category : Rheumatic Heart disease
A 12 year old male child is suffering from Rheumatic Heart Disease with Mitral regurgitation and Mitral Stenosis. Echocardiogram confirms these valvular lesions and suggests severe Pulmonary artery hypertension. What is the line of treatment in this patient as Valvuloplasty may be contraindicated because of severe PAH? Check Out the Answer
Question Category : Rheumatic Heart disease
I have a patient of 36 year old female married with one child. She is on Penidure prophylaxis for Rheumatic valvular disease(mild mitral regurgitation)since 13 years of age. She is asymptomatic, how long should she continue Penidure prophylaxis? Check Out the Answer
Question Category : Rheumatic Heart disease
Should we treat a case with an incidentally found high ASO (>400), if yes, how and how long? Check Out the Answer
Question Category : Rheumatic Heart disease
We have one patient 7 year old male with history of fever on and off since 2 month (undocumented) no other chief complaints , on examination pulse rate 134, rr- 18 , bp 110/68, cvs - diastolic murmur grade 3, p/a no organomegaly , chest is clear ..investigation revealed ESR 15, CRP 19, ECG normal , ASO 200, CXR no cardiomegaly with mild pulmonary plethora, Echo s/o MR. Now patient is with us for 48 hour and there no fever, there is no history s/o old RF or other manifestation of RF. How should we managed this patient? Is steroid indicted as ESR and crp increased. Are these are sufficient evidence for activity? Check Out the Answer
Question Category : Rheumatic Heart disease
In an exam conducted a few days back it was asked as to why arthritis in acute rheumatic fever is migratory in nature. sir can you please help me out with the answer? Check Out the Answer
Question Category : Rheumatic Heart disease
A 9 year old girl was presented with pain and swelling in both knees for 15 days. Previous history of similar symptoms was present in the ankle, which settled on its own. CVS and ECG is normal.ESR is 95,aso titer is 200iu. CRP is positive. Child is put on aspirin and prednisolone assuming JRA, 99 percent improvement was seen in 2 days, child is able to walk with only slight pain....can it be rheumatic fever also.. Please guide on further management and treatment. Thanks. Check Out the Answer

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