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Rheumatic fever

  • Major criteria

    • polyarthritis
    • carditis
    • chorea
    • subcutaneous nodules
    • erythema marginatum
  • Minor criteria

    • fever
    • arthralgia
    • previous rheumatic fever
    • ESR or CRP elev
    • leukocytosis
    • heart block (don't include if already has carditis)
  • Dx

    • 2 major criteria, or 1 major and 2 minor criteria
  • Px

    • diastolic heart murmur
  • Tx

    • penicillin G, cont prophylaxis q4wks for 5+ years
    • aspirin
  • Mech

    • grp A strep

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.