Rhuematic heart disease
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Rhuematic heart disease

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    Rhuematic heart disease Rhuematic heart disease Presentation Transcript

    • RHUEMATIC HEART DISEASE
    • DEFINITION• Rheumatic heart disease is a chronic condition resulting from rheumatic fever that is characterized by scarring and deformity of the heart valves
    • ETIOLOGY• Acute rheumatic fever• Cardiac lesions and valvular deformities• Extra cardiac lesions
    • PATHOPHYSIOLOGYRheumatic fever+ recurrent infection rheumatic pancarditis Endocarditis in valves erosion of valve leaflets fibrous thickening thickened valves stenosis and regurgitation
    • ASCHOFF’S BODIES• Histologic nodules formed by reaction to inflammation with swelling and fragmentation of collagen fibres
    • CLINICAL MANIFESTATION• MAJOR CRITERIA• - carditis• -polyarthritis• -chorea -erythema marginatum
    • • MINOR CRITERIA• -fever ,polyarthritis• -inc. ESR, inc.WBC• -CRP
    • Daignostic Evaluation• Echocardiogram• Chest X-Ray• ECG-prolonged PRinterval,delayed AV conduction
    • MANAGEMENT• MEDICAL MANAGEMENT• NURSING MANAGEMENT• -subjective assesment• -objective assesment
    • Nursing Daignosis• Activity intolorence related to arthralgia secondry to joint pain• Decreased cardiac output related to valve dysfuntion,HF• Ineffective therapuetic regimen related to lack of knowledge
    • • HEALTH PROMOTION• ACUTE INTERVENTION• AMBULATORY AND HOME CARE
    • THANK YOU