Acute Rheumatic Fever

What this deck covers

Acute Rheumatic Fever in twelve clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The 12 cases, in order

1. Recognition
2. The criteria
3. The pattern of pain
4. The cardiac lesion
5. The skin
6. A change at school
7. Proving the trigger
8. The electrocardiogram
9. The echocardiogram
10. Treating the episode
11. Preventing the next one
12. Years later

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Septic arthritis of the knee, Systemic juvenile idiopathic arthritis, Acute rheumatic fever, Reactive arthritis following gastroenteritis, Three major criteria, One major and one minor, A symmetrical small-joint arthritis of the hands, An arthritis that leaves permanent joint deformity, A migratory polyarthritis of the large joints, Aortic stenosis, Mitral regurgitation, Tricuspid regurgitation, Pulmonary stenosis, Erythema nodosum, Erythema multiforme, Erythema infectiosum, Erythema marginatum, A tic disorder, Cerebellar ataxia following varicella, Sydenham chorea, A functional movement disorder, A raised or rising anti-streptolysin O titre, A positive throat swab at presentation, A rising C-reactive protein, Blood cultures positive for streptococcus, Sinus tachycardia.

Clinical pearls from this deck

• Three weeks after a sore throat, a fever and joints that move: the throat is normal by then, and that is the point.
• Two major, or one and two. Know which population column you are in before you apply a threshold.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.

More from this system: all cardiology decks and question sets · pediatric reference values.