Child with strep throat (throat culture and increased ASO titer) who presents with joint pain and a new 3/6 holosystolic murmur at the midclavicular line, most consistent with mitral valve regurgitation caused by rheumatic heart disease
Rheumatic heart disease: JONES criteria (Joint pain, O for heart (endocarditis, myocarditis, pericarditis), subcutaneous Nodules, Erythema marginatum, and Sydenham chorea
Systolic murmurs (left-sided): Aortic stenosis vs mitral regurgitation
submitted by โhayayah(1212)
Acute rheumatic fever --> mitral regurge
Chronic rheumatic fever --> mitral stenosis