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Rheumatic Heart Disease (Management & Treatments (Clinical Symptoms…

- - - - Occurs after Group A Streptococcus Infection
  - - - Heart
      - Joints
      - CNS
  - - - Left Untreated
        
        Rheumatic Fever
- - - - Erythema Marginatum
      - Subcutaneous Nodules
    - - Major Criteria
        
        Carditis
        
        Migratory Arthiritis
        
        Sydenham Chorea
        
        Erythema Marginatum
        
        Subcutaneous Nodules
      - Minor Criteria
        
        Arthralgias
        
        Fever
        
        Elevated Acute-phase Reactans
      - Evidence Of Group A Streptococcal Infection
        
        Antistreptolysin O Antibodies
        
        Positive Throat Culture or Rapid Antigen Tests
  - - - Fatigue
      - Dyspnea
      - Palpitation
      - RVH
      - Peripheral Edema
- - - - Surgery
    - - Anticoagulants Drugs
    - - Afterload Reduction (ACE Inhibitos, Ca Channel Blocker, Angiotensin Receptor Blocker
    - - Antibiotic Prophylaxis
    - - Not effective to use Drugs
    - - Secondary Prophylaxis (Penicillin)
    - - Vaccine is used for primary prevention
- - - - Presented by mature antigen presenting cell
        
        CD-4 T cell
        
        Helper T2 Cell
        
        Plasma Cell
        
        M-Protein Specific Antibody
        
        M-Protein
        
        Laminin
  - - - Tricuspic Valve
        
        Pulmonary Valve
- - - - Aortic Valve
      - Mitral Valve
      - Papillary Muscle
      - Apical left ventricular
  - - - Murmur
        
        Time
        
        Configuration
        
        location
        
        Radiation
        
        intensity
        
        Pitch
        
        Quality of Murmur
      - Gallop
- - - - Fever
      - Heart Murmurs
      - Embolid Distributions
      - Splenomegaly, Malaise, Lethargy
  - - - Sinus Arryhtmia
      - Dyspnea
      - Palpitations
      - Fatigue
      - Fever
      - Pain
  - - - Midsystolic Click
      - Angina-like Pain
      - Dyspnea
      - Palpitations
      - Fatigue
      - Dizziness