Diagnosis of rheumatism
The diagnosis of rheumatism is based on the so-called Dukit John criteria, where it is divided into fundamental and secondary criteria. Diagnosis requires two essential criteria, or a fundamental criterion with two secondary criteria, with the presence of bacterial bronchitis in both cases.
Dukit John standards
Essential criteria
- Heart inflammation
- Multiple Arthritis
- Dance
- Marginal erythema
- Nodules subcutaneous
Secondary standards
- the heat
- Joint pain .
- Previous rheumatic fever.
- Increased red blood cell deposition rate and active protein (C)
- Increased white blood cells.
Evidence of previous infection with streptococcal bacteria is that throat culture is positive, that there is a modern scarlet fever, or that the anti-streptocellin (o +) is positive. Therefore, diagnostic tests include a sample of the throat, Streptocyanase in the blood, as well as knowledge of the rate of deposition of red blood cells in the blood and active protein (C), and very useful tests done the layout of the heart or imaging of the heart through the device.
Summary of rheumatism
The most common symptom of the disease is the patient’s feeling of heat with anorexia, general weakness, heart palpitations, and joint pain. Sometimes the patient may experience so-called dance. The treatment of the disease is focused on complete rest, aspirin and cortisone. The prevention of the disease is based on the use of penicillin for at least five years after the disease or for 20 years. The most important complication of the disease is its effect on the mitral valve leading to a reflux.