MedBugs: SAQ #345

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Case: Acute rheumatic fever

You are asked to see a 19-year-old indigenous male in fast track who has presented to the Emergency Department complaining of joint pain and fever. He has a polyarthritis with involvement of bilateral knees, ankles and wrists. You suspect he may have rheumatic fever. Observations are as follows :

Temp 37.5°C
HR 90
BP 115/70
RR 14

1. List (4) important differential diagnoses to consider. 4 marks

2. What are the diagnostic criteria for rheumatic fever called? 1 mark

3. Outline the components of the criteria. 5 marks

4. State specific management for this condition. 2 marks

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Case: Acute rheumatic fever

1. List (4) important differential diagnoses to consider. 4 marks

2. What are the diagnostic criteria for rheumatic fever called? 1 mark

3. Outline the components of the criteria. 5 marks

4. State specific management for this condition. 2 marks

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