SlideShare a Scribd company logo
Rheumatic heart disease is a chronic condition
resulting from rheumatic fever that is characterised by
scarring & deformity of heart valve
Rheumatic fever:- It is a auto immune inflammatory
disease that may develop due to infection by
streptococcus pyogenes or group A beta haemolytic
streptococcus. This infection cause inflammatory lesion
in connective tissue especially in heart, joint, blood
vessel sub cutaneous tissue. Rheumatic heart disease is
a complication of rheumatic fever.
Family history
Environmental factor specially in crowded
environment.
INFECTION DUE TO GROUP A BETA HAEMOLYTIC STREPTOCOCCUS.
IMMUNE RESONSE TO STREPTO COCCAL ANTIGEN
INFLAMATORY RESPONSE
AFFECT VALVES
SWELLING & EROSION OF VALVE LEAFLET
VEGITATION SEEN IN THE AREA OF EROSION OF LEAFLET
FIBROUS THICKENING OF VALVE LEAFLET
FUSION OF COMMISSURE AND CORDIETENDINI
FIBROUSIS OF PAPILLARY MUSCLE
VALVULAR STENOSIS.
Major criteria:-
Organic heart murmur, stenosis
Cardiac enlargement, myocardiatis
Pericarditis
Chest pain
Pericardial effusion
Mono or poly arthritis:- Joint pain in knees. Ankle, elbow or
wrist
Chorea (Sydenham's chorea):- CNS disorder like face, limb or
muscle weakness or disturbance of speech or gait.
Erythema marginatum:- Lesion are a less common feature of
ARF. The bright pink, non pruritus map like macular extremities
& exacerbated by heat.
Subcutaneous nodule:- Firm, small herd, painless swelling
located over extensor surface of the joint, particularly in knees,
wrist & elbow.
Minor criteria:-
Low gread fever
Arthralgia ( joint pain)
Abnormal ECG( Prolong P-R interval)
High ESR, C-Reactive protein & WBC value.
Irregular heart rhythm.
ECG
Echo
Blood test
ESR study
C-Reactive protein
ASO Titter.:- The antistreptolysin O
(ASO) titer test is a blood test that checks for a
strep infection.
Goal:- To destroy streptococcal bacteria, relive
symptoms & control inflammation
Antibiotic penicillin, procaine penicillin.
Antiinflammatory:- Aspirin or naproxen to
reduce joint pain, swelling, fever etc.
Anticonvulsant medication:- When involuntary
movement of Sydenham chorea are severe. Ex-
Valproic acid.
Decrease CO related Vulvular stenosis & decrease cardiac
contractility.
Ineffective peripheral tissue perfusion related to decrease
metabolic primarily due to vasoconstriction of peripheral blood
vessel.
Acute pain related to inflammation of synovial membrane
Hyperthermia related to inflammation of the synovial
membrane.
1. Maintaining adequate CO:-
Assess the patient sign & symptoms of acute rheumatic
endocarditis.
Vital sign monitoring
Provide semi fowler position.
Encourage patient stress management technique
O2 supply.
IV fluid to prevent dehydration
FEVER:-
Administer antibiotic
Aspirin to control fever, joint pain, swelling.
Liquide soft diet.
Maintain activity:-
Identify activity that cause fatigue
Provide ROM exercise
Bed rest to avoid stress on painful inflammation joint
Aspirin to decrease inflammation.

Rheumatoid heart disease

More Related Content

What's hot

Pericardial effusion
Pericardial effusionPericardial effusion
Pericardial effusion
Abdul Rehman (R)(CT)(MR)
 
Inflammatory cardiac disorders
Inflammatory cardiac disordersInflammatory cardiac disorders
Inflammatory cardiac disorders
slideshareacount
 
Pericardial diseases
Pericardial  diseasesPericardial  diseases
Pericardial diseases
ikramdr01
 
Hypertensive heart disease (hhd)
Hypertensive heart disease (hhd)Hypertensive heart disease (hhd)
Hypertensive heart disease (hhd)
Usman Shams
 
Pericardial effusion final
Pericardial effusion finalPericardial effusion final
Pericardial effusion final
Kefelegn Tadesse
 
L4..pericarditis and pericardial effusion
L4..pericarditis and pericardial effusionL4..pericarditis and pericardial effusion
L4..pericarditis and pericardial effusion
Muhyadin Hassan
 
Mitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushilaMitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushila
SushilaHamal
 
Rhd ppt BY VAISHALI
Rhd ppt BY VAISHALIRhd ppt BY VAISHALI
Rhd ppt BY VAISHALI
VaishaliGuleria1
 
Pericarditis. Pericardial Disease
Pericarditis. Pericardial DiseasePericarditis. Pericardial Disease
Pericarditis. Pericardial Disease
Eneutron
 
Pericardial Dse Cath Lab
Pericardial Dse Cath LabPericardial Dse Cath Lab
Pericardial Dse Cath Lab
Mari Caban
 
Peripheral Vascular Diseases
Peripheral Vascular DiseasesPeripheral Vascular Diseases
Peripheral Vascular DiseasesJessie Madz
 
Burnsss
BurnsssBurnsss
Burnsss
PNK SINGH
 
Pathology of heart
Pathology of heartPathology of heart
Coronary artery diseases
Coronary artery diseasesCoronary artery diseases
Coronary artery diseases
Kaylie Kristen
 
endocarditis pericarditis myocarditis
endocarditis pericarditis myocarditisendocarditis pericarditis myocarditis
endocarditis pericarditis myocarditis
OM VERMA
 
Mitral stenosis
Mitral stenosisMitral stenosis
Mitral stenosis
sahasam
 
Imaging of Pericardial effusion
Imaging of Pericardial effusionImaging of Pericardial effusion
Imaging of Pericardial effusion
Sandeep Ponnaganti
 
Cardiac tamponade
Cardiac tamponadeCardiac tamponade
Cardiac tamponade
Dr. Bijay kumar Sah
 
13. diseases of the pericardium
13. diseases of the pericardium13. diseases of the pericardium
13. diseases of the pericardium
Ahmad Hamadi
 

What's hot (20)

Pericardial effusion
Pericardial effusionPericardial effusion
Pericardial effusion
 
Inflammatory cardiac disorders
Inflammatory cardiac disordersInflammatory cardiac disorders
Inflammatory cardiac disorders
 
Pericardial diseases
Pericardial  diseasesPericardial  diseases
Pericardial diseases
 
Hypertensive heart disease (hhd)
Hypertensive heart disease (hhd)Hypertensive heart disease (hhd)
Hypertensive heart disease (hhd)
 
Pericardial effusion final
Pericardial effusion finalPericardial effusion final
Pericardial effusion final
 
L4..pericarditis and pericardial effusion
L4..pericarditis and pericardial effusionL4..pericarditis and pericardial effusion
L4..pericarditis and pericardial effusion
 
Mitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushilaMitral stenosis and regurgitation sushila
Mitral stenosis and regurgitation sushila
 
Pericardial disease
Pericardial diseasePericardial disease
Pericardial disease
 
Rhd ppt BY VAISHALI
Rhd ppt BY VAISHALIRhd ppt BY VAISHALI
Rhd ppt BY VAISHALI
 
Pericarditis. Pericardial Disease
Pericarditis. Pericardial DiseasePericarditis. Pericardial Disease
Pericarditis. Pericardial Disease
 
Pericardial Dse Cath Lab
Pericardial Dse Cath LabPericardial Dse Cath Lab
Pericardial Dse Cath Lab
 
Peripheral Vascular Diseases
Peripheral Vascular DiseasesPeripheral Vascular Diseases
Peripheral Vascular Diseases
 
Burnsss
BurnsssBurnsss
Burnsss
 
Pathology of heart
Pathology of heartPathology of heart
Pathology of heart
 
Coronary artery diseases
Coronary artery diseasesCoronary artery diseases
Coronary artery diseases
 
endocarditis pericarditis myocarditis
endocarditis pericarditis myocarditisendocarditis pericarditis myocarditis
endocarditis pericarditis myocarditis
 
Mitral stenosis
Mitral stenosisMitral stenosis
Mitral stenosis
 
Imaging of Pericardial effusion
Imaging of Pericardial effusionImaging of Pericardial effusion
Imaging of Pericardial effusion
 
Cardiac tamponade
Cardiac tamponadeCardiac tamponade
Cardiac tamponade
 
13. diseases of the pericardium
13. diseases of the pericardium13. diseases of the pericardium
13. diseases of the pericardium
 

Similar to Rheumatoid heart disease

Rheumatic fever
Rheumatic feverRheumatic fever
Rheumatic fever
Rita Lakhani
 
Pericarditis / nursing care
Pericarditis / nursing carePericarditis / nursing care
Pericarditis / nursing care
V4Veeru25
 
Rhd (4)
Rhd (4)Rhd (4)
Rhd (4)
Sowmya Shetty
 
Rheumatic Heart Disease
Rheumatic Heart DiseaseRheumatic Heart Disease
Rheumatic Heart Disease
Jamiel Calvento
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart diseaseadolescent4u
 
Acute Coronary Syndrome, Myocardial Infarction.
Acute Coronary Syndrome, Myocardial Infarction.Acute Coronary Syndrome, Myocardial Infarction.
Acute Coronary Syndrome, Myocardial Infarction.
DR. VINAYAK BHOI
 
Acute Rheumatic Fever
Acute Rheumatic FeverAcute Rheumatic Fever
Acute Rheumatic Fever
Sue Ting Lim
 
RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease
RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease
RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease
Mathew Varghese V
 
Valvular Heart Disease-1,Lecture 3 (1).pdf
Valvular Heart Disease-1,Lecture 3 (1).pdfValvular Heart Disease-1,Lecture 3 (1).pdf
Valvular Heart Disease-1,Lecture 3 (1).pdf
SeharSaba3
 
Pericardial diseases
Pericardial diseasesPericardial diseases
Pericardial diseases
Varoon Vadodaria
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
ARUNIMAJOSEPH1
 
CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...
CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...
CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...
Sufia Husain
 
Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)
BrahmjotKaur11
 
Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )
obieda mansour
 
Valvular heart disease
Valvular heart diseaseValvular heart disease
Valvular heart disease
DOCTOR WHO
 

Similar to Rheumatoid heart disease (20)

Rheumatic fever
Rheumatic feverRheumatic fever
Rheumatic fever
 
rheumatic fever
rheumatic feverrheumatic fever
rheumatic fever
 
Pericarditis / nursing care
Pericarditis / nursing carePericarditis / nursing care
Pericarditis / nursing care
 
Rhd (4)
Rhd (4)Rhd (4)
Rhd (4)
 
Rheumatic Heart Disease
Rheumatic Heart DiseaseRheumatic Heart Disease
Rheumatic Heart Disease
 
Raj ms
Raj msRaj ms
Raj ms
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
 
Acute Coronary Syndrome, Myocardial Infarction.
Acute Coronary Syndrome, Myocardial Infarction.Acute Coronary Syndrome, Myocardial Infarction.
Acute Coronary Syndrome, Myocardial Infarction.
 
Acute Rheumatic Fever
Acute Rheumatic FeverAcute Rheumatic Fever
Acute Rheumatic Fever
 
RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease
RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease
RHD- Rheumatic Heart Disease , VHD - Valvular Heart Disease
 
Valvular Heart Disease-1,Lecture 3 (1).pdf
Valvular Heart Disease-1,Lecture 3 (1).pdfValvular Heart Disease-1,Lecture 3 (1).pdf
Valvular Heart Disease-1,Lecture 3 (1).pdf
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
 
Pericardial diseases
Pericardial diseasesPericardial diseases
Pericardial diseases
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
 
ped.pptx
ped.pptxped.pptx
ped.pptx
 
CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...
CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...
CVS Pathology 1 - Rheumatic heart disease, infective endocarditis and valvula...
 
Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)Rheumatic Heart Disease (RHD)
Rheumatic Heart Disease (RHD)
 
Rheumatic fever
Rheumatic feverRheumatic fever
Rheumatic fever
 
Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )Rheumatic heart disease (nursing ppt )
Rheumatic heart disease (nursing ppt )
 
Valvular heart disease
Valvular heart diseaseValvular heart disease
Valvular heart disease
 

More from suchismita sethi

Burger disease
Burger diseaseBurger disease
Burger disease
suchismita sethi
 
Atherosclerosis
AtherosclerosisAtherosclerosis
Atherosclerosis
suchismita sethi
 
Anurysm
AnurysmAnurysm
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
suchismita sethi
 
head injury
 head injury head injury
head injury
suchismita sethi
 
Stroke
StrokeStroke
Myocardial infraction
Myocardial infractionMyocardial infraction
Myocardial infraction
suchismita sethi
 
Epilepsy
EpilepsyEpilepsy
Pulmonary edema
Pulmonary edemaPulmonary edema
Pulmonary edema
suchismita sethi
 
Cor pulmonaly
Cor pulmonalyCor pulmonaly
Cor pulmonaly
suchismita sethi
 
Cardiogenic shock
Cardiogenic shockCardiogenic shock
Cardiogenic shock
suchismita sethi
 
Peripheral vasculer disease
Peripheral vasculer diseasePeripheral vasculer disease
Peripheral vasculer disease
suchismita sethi
 
Aneurysm
AneurysmAneurysm
Urinary system
Urinary systemUrinary system
Urinary system
suchismita sethi
 
Digestive system
Digestive systemDigestive system
Digestive system
suchismita sethi
 
Diabetis mellitus
Diabetis mellitusDiabetis mellitus
Diabetis mellitus
suchismita sethi
 
Cardiovascular ststem
Cardiovascular ststemCardiovascular ststem
Cardiovascular ststem
suchismita sethi
 
Volume & capacity of lungs
Volume & capacity of lungsVolume & capacity of lungs
Volume & capacity of lungs
suchismita sethi
 
Respiratory system
Respiratory systemRespiratory system
Respiratory system
suchismita sethi
 
Otosclerosis (2)
Otosclerosis (2)Otosclerosis (2)
Otosclerosis (2)
suchismita sethi
 

More from suchismita sethi (20)

Burger disease
Burger diseaseBurger disease
Burger disease
 
Atherosclerosis
AtherosclerosisAtherosclerosis
Atherosclerosis
 
Anurysm
AnurysmAnurysm
Anurysm
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
head injury
 head injury head injury
head injury
 
Stroke
StrokeStroke
Stroke
 
Myocardial infraction
Myocardial infractionMyocardial infraction
Myocardial infraction
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Pulmonary edema
Pulmonary edemaPulmonary edema
Pulmonary edema
 
Cor pulmonaly
Cor pulmonalyCor pulmonaly
Cor pulmonaly
 
Cardiogenic shock
Cardiogenic shockCardiogenic shock
Cardiogenic shock
 
Peripheral vasculer disease
Peripheral vasculer diseasePeripheral vasculer disease
Peripheral vasculer disease
 
Aneurysm
AneurysmAneurysm
Aneurysm
 
Urinary system
Urinary systemUrinary system
Urinary system
 
Digestive system
Digestive systemDigestive system
Digestive system
 
Diabetis mellitus
Diabetis mellitusDiabetis mellitus
Diabetis mellitus
 
Cardiovascular ststem
Cardiovascular ststemCardiovascular ststem
Cardiovascular ststem
 
Volume & capacity of lungs
Volume & capacity of lungsVolume & capacity of lungs
Volume & capacity of lungs
 
Respiratory system
Respiratory systemRespiratory system
Respiratory system
 
Otosclerosis (2)
Otosclerosis (2)Otosclerosis (2)
Otosclerosis (2)
 

Recently uploaded

Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
RaedMohamed3
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
MysoreMuleSoftMeetup
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
GeoBlogs
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
DeeptiGupta154
 
Introduction to Quality Improvement Essentials
Introduction to Quality Improvement EssentialsIntroduction to Quality Improvement Essentials
Introduction to Quality Improvement Essentials
Excellence Foundation for South Sudan
 
Fish and Chips - have they had their chips
Fish and Chips - have they had their chipsFish and Chips - have they had their chips
Fish and Chips - have they had their chips
GeoBlogs
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
kaushalkr1407
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
Jisc
 
Sectors of the Indian Economy - Class 10 Study Notes pdf
Sectors of the Indian Economy - Class 10 Study Notes pdfSectors of the Indian Economy - Class 10 Study Notes pdf
Sectors of the Indian Economy - Class 10 Study Notes pdf
Vivekanand Anglo Vedic Academy
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
EverAndrsGuerraGuerr
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
Delapenabediema
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
joachimlavalley1
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
Sandy Millin
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
EugeneSaldivar
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
BhavyaRajput3
 
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXXPhrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
MIRIAMSALINAS13
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
Vivekanand Anglo Vedic Academy
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
Anna Sz.
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
Jisc
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 

Recently uploaded (20)

Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
 
The geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideasThe geography of Taylor Swift - some ideas
The geography of Taylor Swift - some ideas
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
 
Introduction to Quality Improvement Essentials
Introduction to Quality Improvement EssentialsIntroduction to Quality Improvement Essentials
Introduction to Quality Improvement Essentials
 
Fish and Chips - have they had their chips
Fish and Chips - have they had their chipsFish and Chips - have they had their chips
Fish and Chips - have they had their chips
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
 
Sectors of the Indian Economy - Class 10 Study Notes pdf
Sectors of the Indian Economy - Class 10 Study Notes pdfSectors of the Indian Economy - Class 10 Study Notes pdf
Sectors of the Indian Economy - Class 10 Study Notes pdf
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
 
Additional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdfAdditional Benefits for Employee Website.pdf
Additional Benefits for Employee Website.pdf
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
 
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXXPhrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
Phrasal Verbs.XXXXXXXXXXXXXXXXXXXXXXXXXX
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 

Rheumatoid heart disease

  • 1.
  • 2. Rheumatic heart disease is a chronic condition resulting from rheumatic fever that is characterised by scarring & deformity of heart valve
  • 3. Rheumatic fever:- It is a auto immune inflammatory disease that may develop due to infection by streptococcus pyogenes or group A beta haemolytic streptococcus. This infection cause inflammatory lesion in connective tissue especially in heart, joint, blood vessel sub cutaneous tissue. Rheumatic heart disease is a complication of rheumatic fever. Family history Environmental factor specially in crowded environment.
  • 4.
  • 5. INFECTION DUE TO GROUP A BETA HAEMOLYTIC STREPTOCOCCUS. IMMUNE RESONSE TO STREPTO COCCAL ANTIGEN INFLAMATORY RESPONSE AFFECT VALVES SWELLING & EROSION OF VALVE LEAFLET VEGITATION SEEN IN THE AREA OF EROSION OF LEAFLET FIBROUS THICKENING OF VALVE LEAFLET FUSION OF COMMISSURE AND CORDIETENDINI FIBROUSIS OF PAPILLARY MUSCLE VALVULAR STENOSIS.
  • 6.
  • 7.
  • 8. Major criteria:- Organic heart murmur, stenosis Cardiac enlargement, myocardiatis Pericarditis Chest pain Pericardial effusion Mono or poly arthritis:- Joint pain in knees. Ankle, elbow or wrist Chorea (Sydenham's chorea):- CNS disorder like face, limb or muscle weakness or disturbance of speech or gait. Erythema marginatum:- Lesion are a less common feature of ARF. The bright pink, non pruritus map like macular extremities & exacerbated by heat. Subcutaneous nodule:- Firm, small herd, painless swelling located over extensor surface of the joint, particularly in knees, wrist & elbow.
  • 9.
  • 10.
  • 11. Minor criteria:- Low gread fever Arthralgia ( joint pain) Abnormal ECG( Prolong P-R interval) High ESR, C-Reactive protein & WBC value. Irregular heart rhythm.
  • 12. ECG Echo Blood test ESR study C-Reactive protein ASO Titter.:- The antistreptolysin O (ASO) titer test is a blood test that checks for a strep infection.
  • 13. Goal:- To destroy streptococcal bacteria, relive symptoms & control inflammation Antibiotic penicillin, procaine penicillin. Antiinflammatory:- Aspirin or naproxen to reduce joint pain, swelling, fever etc. Anticonvulsant medication:- When involuntary movement of Sydenham chorea are severe. Ex- Valproic acid.
  • 14. Decrease CO related Vulvular stenosis & decrease cardiac contractility. Ineffective peripheral tissue perfusion related to decrease metabolic primarily due to vasoconstriction of peripheral blood vessel. Acute pain related to inflammation of synovial membrane Hyperthermia related to inflammation of the synovial membrane. 1. Maintaining adequate CO:- Assess the patient sign & symptoms of acute rheumatic endocarditis. Vital sign monitoring Provide semi fowler position. Encourage patient stress management technique O2 supply. IV fluid to prevent dehydration
  • 15. FEVER:- Administer antibiotic Aspirin to control fever, joint pain, swelling. Liquide soft diet. Maintain activity:- Identify activity that cause fatigue Provide ROM exercise Bed rest to avoid stress on painful inflammation joint Aspirin to decrease inflammation. 