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    This patient presented with symptoms of heart failure including shortness of breath, ankle swelling, difficulty breathing while lying down, a rapid heart rate, and respiratory distress. On examination, the patient had leg swelling, elevated neck veins, murmurs, and was classified as NYHA class IV, indicating severe symptoms of heart failure at rest. The document also lists criteria for diagnosing rheumatic fever which can lead to heart failure, including major manifestations like heart inflammation and minor manifestations like joint pain.

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    This patient presented with symptoms of heart failure including shortness of breath, ankle swelling, difficulty breathing while lying down, a rapid heart rate, and respiratory distress. On examination, the patient had leg swelling, elevated neck veins, murmurs, and was classified as NYHA class IV, indicating severe symptoms of heart failure at rest. The document also lists criteria for diagnosing rheumatic fever which can lead to heart failure, including major manifestations like heart inflammation and minor manifestations like joint pain.

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    13 views3 pages

    Presentation 1

    Uploaded by

    nachiketpanchal8
    This patient presented with symptoms of heart failure including shortness of breath, ankle swelling, difficulty breathing while lying down, a rapid heart rate, and respiratory distress. On examination, the patient had leg swelling, elevated neck veins, murmurs, and was classified as NYHA class IV, indicating severe symptoms of heart failure at rest. The document also lists criteria for diagnosing rheumatic fever which can lead to heart failure, including major manifestations like heart inflammation and minor manifestations like joint pain.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 3

    Heart failure

    Primary impression
    Why heart failure
    • Symptoms- dyspnea, ankle swelling and orthopnea, neck vein
    engorged
    • HR- 122
    • In respiratory distress
    • Signs- bipedal edema, elevated neck veins, diastolic murmur and 3/6
    holosystolic murmur and 3/6 systolic murmurs.
    • NYHA class IV
    Jones criteria
    • Major manifestation- carditis
    • Poly arthritis
    • Chorea
    • Erythema marginatum
    • Subcutaneous nodules

    • Minor manifestations- fever, arthralgia, increased ESR/CRP, prolonged PR


    interval.
    • For rheumatic fever – 2 major manifestations/ 1 major or 2 minor
    manifestations.

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