This document defines rheumatic fever as an immunological disorder initiated by Group A beta-hemolytic streptococcus that occurs after streptococcal pharyngitis. It affects people ages 6-15, and has a higher incidence in developing countries and crowded populations. Symptoms include symmetrical joint involvement and pain, fever, and potential damage to the heart, joints, and brain. Diagnosis involves evaluating criteria like arthritis, fever, and lab/imaging tests. Treatment focuses on bed rest, a penicillin regimen to prevent recurrence, and suppressive therapy. Prevention prioritizes treating streptococcal infections promptly.

2. Ms. Ann Mariam George
MSc nursing IIndYear
KIMS CON
Narketpally.

3. DEFINITION:
•RHEUMATIC FEVER APPEARSTO BE
AN IMMUNOLOGICAL DISORDER
INITIATED BY GROUP A BETA
HEMOLYTIC STREPTOCOCCUS.
-O.P GHAI

4. •Rheumatic fever is a poorly understood
inflammatory disease that occurs after
pharyngitis caused by Group A- β
haemolytic streptococci.
-Wongs

5. INCIDENCE
•Incidence of RF is closely related to the incidence of
GROUP –A STREPTOCOCCAL PHARYNGITIS.
•AGE: 6 -15
•Developing countries > Developed countries
•Western countries :0.3% of general population
•Crowded population:1-3%
•Sex : both the sexes equally affected

6. ETIOLOGY

7. Etiopathogenesis
•Pharyngitis caused by Group A- β haemolytic streptococci.
•Filling of the affected joint spaces with inflammatory fluid
•Non specific inflammation of the synovial membrane which is
edematous and hyperemic and invaded with plasma cells and
lymphocytes .
•Evidence of nonspecific fibrinous serositis may also be found in
pleura, pericardium and peritoneum.

8. Clinical features
•Symmetrical involvement of both small and large joints
•Kept in flexion
•Contractures
•Spindle shaped fingers with shiny and smooth overlying
skin
•Prolonged fever
•still’s disease
•Iridocyclitis

9. DIAGNOSTIC EVALUATION
• Major criteria
• Minor criteria Arthralgia
• Fever
• Laboratory findings
• Other findings
• X-ray findings
• Rose waler test
• Synovial biopsy
• Echocardiography
• ECG

10. Management
•Therapeutic management
•Bed rest
•Diet
•Penicillin
•Suppressive therapy
•Management of chorea

11. Prevention
•PRIMARY PREVENTION
•SECONDARY PREVENTION

12. NURSING MANAGEMENT

13. SUMMARY

14. •Good job
everyone!

15. •ASSIGNMENT
•WRITE NOTES ON DRUG
•PENICILLIN, AND ASPIRIN

16. CONCLUSION