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A Safety Valve, of, if, on, will, if, give - Coggle Diagram

- - - - major manifestations
        
        Chorea
        
        Erythema marginatum
        
        Polyarthritis and monoarthritis
        
        Subcutaneous nodules
        
        Carditis
      - minor manifestations
        
        Fever exceeding 38°C
        
        Elevated ESR
        
        Polyarthralgia
        
        Elevated CRP level
        
        Prolonged PR interval
  - - - preformed twice 2 weeks apart
- - - - such as
        
        hygiene and housing
  - - - such as
        
        sore throat treatment such as drinking warm liquids
  - - - Penicillin G
        
        most preferred antibiotic :check:
      - Macrolides or cephalosporins
        
        if sensitive to Penicillin G
    - - to relief disease manifestation
        
        such as
        
        arthritis
    - - Carbamazepine and Valproate
  - - - mitral valve replacement
- - - - Rheumatoid arthritis
        
        which is
        
        autoimmune reaction
      - Osteoarthritis
        
        which is
        
        wear an tear of joints
- - - - through
        
        skin electrodes
  - - - Indicates
        
        AV nodal delay
    - - Indicates
        
        Ventricular depolarization
    - - Indicates
        
        Atrial depolarization
    - - Indicates
        
        Ventricular repolarization
  - - - Limb leads
        
        include
        
        Bipolar leads
        
        Leads I/II/III
        
        Augmented leads
        
        AVF / AVR / AVL
        
        Made from
        
        A combination of connections between
        
        left arm - right arm - left foot as negative and positive poles
      - Chest leads
        
        Which are
        
        V1-V6
  - - - A vector depicting net depolarization
        
        clinically reflected
        
        by the left ventricle
    - - depolarization more than it should
        
        in heart champers
- - - - classified based on
        
        Browns
        
        B-hemolysin
        
        Lancefiled
        
        Group A
  - - - 1- Immune activation, development of cross reactive antibodies and cross reactive T-cells
      - 2- Deposition of cross reactive antibodies
        
        heart tissue
      - 3- T-cell adhesion to heart tissue (VCAM-1)
      - 4- Infiltration of T-cells
      - 5- Neovascularization
        
        more T-cell recruited
  - - - such as
        
        migratory
        
        that
        
        move from one joint to another
        
        polyarthritis
        
        that
        
        affect mainly large joints
    - - characterised by
        
        Macrophages and fibrinoid necrosis accumulation
        
        in the
        
        subcutaneous layer
    - - are
        
        red margins
        
        that is
        
        associated with antibody cross-reaction
    - - affects
        
        5% to 10% of RF patients
      - is
        
        Uncoordinated jerking movements
        
        associated with
        
        milkmaid grip sign
        
        tongue fasciculations
        
        Pronator sign
  - - - check
        
        fever
        
        tachypnea
        
        hypotention
    - - check for
        
        erythema marginatum
        
        subcutaneous nodules
    - - check for
        
        cardiac murmurs
        
        pulmonary edema
- - - - Virden streptococci
      - staphylococcus aureus
      - staphylococcus epidermidis
- - - - occur when
        
        abnormality in the cardiac valves
  - - - is
        
        most common
      - occur in
        
        aortic stenosis
        
        mitral regurgitation
    - - is
        
        very rare
      - occur in
        
        aortic regurgitation
        
        mitral stenosis
    - - is
        
        common
        
        :warning: systolic
      - occurs in
        
        PDA
- - - - 3 papillary muscles
      - Trabeculae carneae
      - Tricuspid valve
      - moderator band
    - - Rough wall
      - Crista terminalis
      - Smooth wall (Sinus venarum)
      - Interatrial septum
    - - Interatrial septum
      - Smooth wall
      - Rough wall
    - - Two papillary muscles
      - Interventricular septum
  - - - seen on frontal chest radiographs
        
        indicate
        
        left atrial enlargement
    - - right side of the left atrium
        
        pushes behind the right cardiac shadow
      - splaying of the carina
        
        more than 90 degree
      - enlargement on the left atrial appendage
        
        frontal radiographs
  - - - Right border
      - Inferior border
      - Superior border
      - Left border
    - - Coronary sulcus
      - Anterior IV sulcus
- - - - valves due to blood flow in the cardiac chambers
  - - - caused by
        
        closure of AV valves
    - - caused by
        
        closure of semilunar valves
    - - caused by
        
        rapid ventricular filling
      - can be either
        
        normal or pathological
    - - caused by
        
        oscillations of the ventricles
      - is always
        
        abnormal
- - - - 444 cases per 100,000 population
    - - 3.4 cases per 100,000 population
- - - - allergic reaction
      - pain
      - anxiety
      - asthma
    - - COPD
      - heart problems
      - asthma
      - Obesity