RHEUMATIC FEVER.

Today we Discuss about Rheumatic Fever.

Let's go.

Presentation of a case-
(Supposing both knee and elbow joints)

*Both knee and elbow joints are swollen.
*Skin is red and shiny.
Local temperature is raised and the joints are very tender.
*There is restricted movement of the joins(because of pain)

MY DIFFERENTIAL DIAGNOSES ARE :

*RF
*Reactive arthritis.
*Rheumatoid Arthritis
*Septic Arthritis
*Traumatic arthropathy.

what is the likely diagnosis in this case??

Ans:Rheumatic fever.

what are the presenting complaints of a patient with RF??

Ans:RF usually occurs in children and young adults.

Features are::

• Migrating, nondeforming polyathritis involving the large joints (knee,ankle,and elbow) and wrists with fever,may be continuous, high grade is the presenting feature in 75% cases.
  *palpitation and chest pain.
  *Skin rash,subcutaneous nodules.
  *Involuntary movement
  *Malaise, weakness and fatigue.

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