Following evaluation of a 6 year old girl with multiple systemic complaints, a diagnosis of acute rheumatic fever is made based upon both clinical findings and documentation of an elevated streptococcal antibody titer. Which of the following is considered a major manifestation of acute rheumatic fever?

EISENMENGER S SYNDROME

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A	Fever
B	Chorea
C	Elevated ESR
D	Arthralgia
E	Prolonged PR interval on ECG

Explanation:

Detailed explanation-1: -Rheumatic fever diagnostic criteria The major diagnostic criteria are carditis, arthritis, chorea, erythema marginatum, and subcutaneous nodules, whereas the minor criteria are arthralgia, hyperpyrexia, high erythrocyte sedimentation rate (ESR), and/or high C-reactive protein (CRP), and prolonged PR interval [9].

Detailed explanation-2: -Common symptoms can include: Inflammation in joints such as the knees or ankles that causes swelling, soreness, and redness. Small, painless, hard bumps (nodules) under the skin, often over bony areas. Unusual jerky movements, most often of the face and hands.

Detailed explanation-3: -Rheumatic fever can also be diagnosed if the Jones criteria are not met, in the case of isolated chorea or carditis with an insidious onset, long-term course and inconspicuous progression of lesions, after other causes have been excluded.

There is 1 question to complete.

MRCP UK EXAMINATIONS

CARDIOLOGY

EISENMENGER S SYNDROME