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Rheumatic feverMs. Ann Mariam GeorgeMSc nursing IInd YearKIMS CON Narketpally.

DEFINITION:RHEUMATIC FEVER APPEARS TO BE AN IMMUNOLOGICAL DISORDER INITIATED BY GROUP A BETA HEMOLYTIC STREPTOCOCCUS.-O.P GHAI

Rheumatic fever is a poorly understood inflammatory disease that occurs after pharyngitis caused by Group A- haemolytic streptococci. -Wongs

INCIDENCEIncidence of RF is closely related to the incidence of GROUP A STREPTOCOCCAL PHARYNGITIS.AGE: 6 -15Developing countries > Developed countriesWestern countries :0.3% of general populationCrowded population:1-3%Sex : both the sexes equally affected

ETIOLOGY

EtiopathogenesisPharyngitis caused by Group A- haemolytic streptococci.

Filling of the affected joint spaces with inflammatory fluid Non specific inflammation of the synovial membrane which is edematous and hyperemic and invaded with plasma cells and lymphocytes .

Evidence of nonspecific fibrinous serositis may also be found in pleura, pericardium and peritoneum.

Clinical featuresSymmetrical involvement of both small and large jointsKept in flexion ContracturesSpindle shaped fingers with shiny and smooth overlying skinProlonged feverstills diseaseIridocyclitis

DIAGNOSTIC EVALUATIONMajor criteriaMinor criteria ArthralgiaFeverLaboratory findingsOther findingsX-ray findingsRose waler testSynovial biopsyEchocardiographyECG

Management

Therapeutic managementBed restDietPenicillinSuppressive therapyManagement of chorea

PreventionPRIMARY PREVENTION SECONDARY PREVENTION

NURSING MANAGEMENT

SUMMARY

Good job everyone!

ASSIGNMENT

WRITE NOTES ON DRUG PENICILLIN, AND ASPIRIN

CONCLUSION