Rheumatic fever physical examination: Difference between revisions
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*[[Tachycardia]] | *[[Tachycardia]] | ||
*[[Tachypnea]] (if heart valves, pericardium or myocardium are involved leading to cardiac dysfunction) | *[[Tachypnea]] (if heart valves, pericardium or myocardium are involved leading to cardiac dysfunction) | ||
===Cardiac examination=== | |||
Cardiac involvement is the second most common complication of rheumatic fever. | |||
*[[Tachycardia]] | |||
*[[Cardiac murmurs]] may be noted if heart valves are involved. Regurgitant murmurs are common in acute rheumatic fever, while chronic rheumatic fever is associated with murmurs of valve stenosis. [[Mitral insufficiency]] ([[holosystolic murmur]]) is the most common valvular abnormality reported in rheumatic fever and may be accompanied by [[aortic insufficiency]] ([[early diastolic murmur]])<ref name="pmid1404745">{{cite journal| author=| title=Guidelines for the diagnosis of rheumatic fever. Jones Criteria, 1992 update. Special Writing Group of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young of the American Heart Association. | journal=JAMA | year= 1992 | volume= 268 | issue= 15 | pages= 2069-73 | pmid=1404745 | doi= | pmc= | url= }} </ref><ref name="pmid12417554">{{cite journal| author=Ferrieri P, Jones Criteria Working Group| title=Proceedings of the Jones Criteria workshop. | journal=Circulation | year= 2002 | volume= 106 | issue= 19 | pages= 2521-3 | pmid=12417554 | doi= | pmc= | url= }} </ref>. | |||
==References== | ==References== | ||
Revision as of 00:50, 15 September 2011
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Varun Kumar, M.B.B.S.
Physical Examination
General appearance
High index of suspicion is required in diagnosing rheumatic fever. Patients presents frequently with joint involvement and fatigue.
Vital signs
- Fever
- Normotension or Hypotension (if heart or pericardium is involved)
- Tachycardia
- Tachypnea (if heart valves, pericardium or myocardium are involved leading to cardiac dysfunction)
Cardiac examination
Cardiac involvement is the second most common complication of rheumatic fever.
- Tachycardia
- Cardiac murmurs may be noted if heart valves are involved. Regurgitant murmurs are common in acute rheumatic fever, while chronic rheumatic fever is associated with murmurs of valve stenosis. Mitral insufficiency (holosystolic murmur) is the most common valvular abnormality reported in rheumatic fever and may be accompanied by aortic insufficiency (early diastolic murmur)[1][2].
References
- ↑ "Guidelines for the diagnosis of rheumatic fever. Jones Criteria, 1992 update. Special Writing Group of the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young of the American Heart Association". JAMA. 268 (15): 2069–73. 1992. PMID 1404745.
- ↑ Ferrieri P, Jones Criteria Working Group (2002). "Proceedings of the Jones Criteria workshop". Circulation. 106 (19): 2521–3. PMID 12417554.