In the diagnosis of rheumatic fever, which of the following may be helpful?

Discussion in 'MRCPCH forum' started by samuel, Sep 21, 2014.

  1. samuel

    samuel New Member

    In the diagnosis of rheumatic fever, which of the following may be helpful?

    1) A generalized macular-papular rash.
    2) ASO titre of less than 1:200.
    3) Polyarthritis.
    4) Staphylococcus aureus grown on throat culture.
    5) Splinter haemorrhages.
  2. samuel

    samuel New Member

    Ans is C
    A Jones criteria require two major or one major and two minor, and evidence of recent streptococcal infection for the diagnosis of rheumatic fever.
    MAJOR:
    1) Pancarditis. 2) Polyarthritis 3) Erythema marginatum 4) Chorea 5) Subcutaneous nodules
    - The rash is macular.
    MINOR:
    1) Fever 2) Polyarthralgia 3) History of RF 4) Raised ESR/CRP 5) Prolonged PR interval on ECG.

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