tommyk
10-06-2006, 08:11 AM
Hy 2432
7-year-old girl named Molly Sims presents to your clinic at the House of Style Memorial Hospital today. Her H&P is a 4-day history of fever, dyspnea, and intermittent joint pain. She has a history of sore throat 1 month ago. On physical examination, her temperature is 104, blood pressure is 90/60 mm Hg, pulse is 115/min, and respirations are 25/min. Her knees and elbow joints are swollen and tender to palpation. There is a grade III/VI diastolic murmur best heard at the apex. Multiple fine, pink macules are noted on her trunk. These macules are blanching in the middle. Which of the following is the most likely diagnosis? (This is a super classic HY presentation)
1-Scarlet fever
2-Rheumatic fever
3-Lyme Disease
4-Septic arthritis
5-Sickle cell anemia
6-Juvenille rheumatoid arthritis
ans) pick #2. Rheumatic fever is an inflammatory disease, possibly autoimmune in nature. Immune responses to group A streptococcal antigens during pharyngitis resulting in antibody cross-reactions with myocardial antigens remain central to the pathogenesis. Rheumatic fever involves many tissues, including the heart, joints, skin, and CNS. Preceding infection with group A Streptococcus is a prerequisite to the development of acute rheumatic fever. Initially, fever, dyspnea, chest pain, and cardiac murmur develop. The Jones criteria should be memorized cold…
7-year-old girl named Molly Sims presents to your clinic at the House of Style Memorial Hospital today. Her H&P is a 4-day history of fever, dyspnea, and intermittent joint pain. She has a history of sore throat 1 month ago. On physical examination, her temperature is 104, blood pressure is 90/60 mm Hg, pulse is 115/min, and respirations are 25/min. Her knees and elbow joints are swollen and tender to palpation. There is a grade III/VI diastolic murmur best heard at the apex. Multiple fine, pink macules are noted on her trunk. These macules are blanching in the middle. Which of the following is the most likely diagnosis? (This is a super classic HY presentation)
1-Scarlet fever
2-Rheumatic fever
3-Lyme Disease
4-Septic arthritis
5-Sickle cell anemia
6-Juvenille rheumatoid arthritis
ans) pick #2. Rheumatic fever is an inflammatory disease, possibly autoimmune in nature. Immune responses to group A streptococcal antigens during pharyngitis resulting in antibody cross-reactions with myocardial antigens remain central to the pathogenesis. Rheumatic fever involves many tissues, including the heart, joints, skin, and CNS. Preceding infection with group A Streptococcus is a prerequisite to the development of acute rheumatic fever. Initially, fever, dyspnea, chest pain, and cardiac murmur develop. The Jones criteria should be memorized cold…