Total stay-18 days
History given by Parents and child himself. ( Reliable)
Fever X 11 days
Swelling in Neck X 11 days
History of Present Illness
The child was apparently well 11days back, when he developed fever, continuous, highgrade, upto104F, maximum during nights,coming down on medication(Ibuprofen+Paracetamol) and was a/w profuse sweating how ever there was no h/o chills or rigors.
Rheumatic fever (RF) is an acute, immunologically mediated, multisystem inflammatory disease involving heart, joints, CNS, skin and other tissues that occurs a few weeks after an episode of group A β-hemolytic streptococcal pharyngitis. Acute rheumatic heart disease (RHD) is the cardiac manifestation of RF and is associated with inflammation of the valves, myocardium, or pericardium. Rheumatic fever is said to “lick …
Definition: Cardiac cycle refers to the cardiac events that occur from the beginning of one heart beat by spontaneous generation of action potential in SA node to the beginning of the next. When the heart rate is 75/min, the period of one cardiac cycle is 0.8 sec.
Diastole: a period of relaxation during which heart fills with blood
Systole: a period …