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RHEUMATIC FEVER (Rheumatic Heart Disease (To make a diagnosis the JONES…
RHEUMATIC FEVER
Rheumatic Heart Disease
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Over years, recurrent attacks of ARF lead to permanent heart damage
ARF results in progressive fusion, thickening & calcification of previously normal valve.
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Macroscopic Pathology
Small, non-friable firmly adherent transculent vegetations of deposited platelets along valves
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CHRONIC RF
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MITRAL STENOSIS
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INITIALLY, FISH MOUTH LIKE
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Acute, immunologically mediated multisystem inflammatory disease post inadequately/untreated Group A beta streptococcal infection.