Already have an account? Get multiple benefits of using own account!
Login in your account..!
Remember me
Don't have an account? Create your account in less than a minutes,
Forgot password? how can I recover my password now!
Enter right registered email to receive password!
The course and ultimate prognosis of ARF is usually directly related to the severity of carditis. The course and prognosis also depends upon recurrence of rheumatic fever. In pre-penicillin era, recurrences of ARF were seen in upto 70 per cent of patients. There is always a tendency to develop rheumatic fever with repeated GAS infections. There is greater chance for recurrence in young children and in the first 3 years after the first attack and in patients with established rheumatic heart disease. If patient had carditis in first attack of ARF, there is always a tendency to have carditis in subsequent attacks. With each recurrence, there is progressive deterioration in valvular lesions and myocardial function. However, if patient is managed well after first attack of ARF and proper prophylaxis is carried out, the recurrent attacks can be prevented. In the UK-USA collaborative study, only 6 per cent of patients with no carditis during first attack of ARF were having murmur after 10 years of first attack. But in patients who developed carditis during first attack of ARF as evidenced by apical systolic murmur, basal diastolic murmurs, CCF, pericarditis, heart disease was present in 30 to 68 per cent at follow up.
Patient is advised bed rest preferably in the hospital. Patient must take bed rest till fever, leucocytosis, ESR, CRP are settled (see Table 1.3 for guidelines of bedrest). If patient develops heart failure due to acute carditis, he should be given digitalis and diuretics with low salt diet. GAS infection should be treated even if throat culture is negative by either single IM injection of benzathine penicillin (1.2 mega units) or oral penicillin for 10 days. If patient is allergic to penicillin, Macrolides or cephalosproins should be given for 10 days. For polyarthritis, high doses of salicylates are used. Aspirin in the dose of 100 mgm/kg/day to maintain a serum level of 20 mg per cent are required. Gradually the dose should be tapered as clinical and laboratory features of inflammation (ESR, CRP) subside.
C4 plants have higher net photosynthetic rate because a.they have no photorespiration b.can photosynthesise in low in
Photometer Photometer (Figure shown below) measures the intensity of light. The metallic plate A is a photocell which emits electrons from its surface when light of sufficient
Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4
Q. What are the main risk factors for hypertension? The major risks factors for hypertension are tobacco smoking, stress, obesity, sedentary lifestyle and alcoholism.
Pathophysiology Leukocytes develop fiom stem cells located in the bone marrow. During leukocyte maturation, cells become committed to specific cell types and develop throu
Define Food Safety and Regulation? Food sanitation because related to public health and food plant processing; FDA and USDA rules and regulations; food ingredient labelling; nu
Types of Cambium On the basis of the arrangement of the Fusiform cells as seen in tangential section, cambium is divided into: A) Storied/Stratified Cambium : The groups o
What are some signs and symptoms found in patients with hyperthyroidism? The hormones made by the thyroid gland stimulate the basal metabolism of the body. In hyperthyroidism t
What is shunts in Congenital Heart Surgery? Shunts : Blalock Shunts are connections between systemic arteries such as a subclavian arteiy with its respective pulmonary arteiy
Define Physical Capacity Tests for Aerobic capacity? Aerobic capacity has already been defined. Aerobic capacity is usually measured using a tread mill test in which the intens
Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!
whatsapp: +91-977-207-8620
Phone: +91-977-207-8620
Email: [email protected]
All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd