Rheumatic fever diagnosis: Revised Dukett Jones crirteria

 "Arthitis Can Skip Every Where! Legs Around Patella Are Frequently Preferred!"

 

Major Criteria

"Arthitis Can Skip Every Where!"

  • Arthritis
  • Carditis
  • Sub-cuteneuos nodules ( Aschoff's nodules)
  • Erythema Marginatum
  • Writhing (Chorea)

Minor Criteria

"Legs Around Patella Are Frequently Preferred!"

  • Leucocytosis
  • Arthralgia
  • PR  Interval prolongation 
  • Acute phase response 
  • Fever 
  • Previous rheumatic fever history

 

Note: Arthirtis in Rheumatic fever is a fleeting disorder and so arthritis 'skips everywhere' and leg (i.e., ankles and knees ) are the frequently affected joints.

 

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imageAccording to revised Jones criteria, the diagnosis of rheumatic fever can be made when two of the major criteria, or one major criterion plus two minor criteria, are present along with evidence of streptococcal infection. The minor criteria include- arthralgia, fever, heart block, leucocytosis, raised ESR or CRP and history of rheumatic fever.

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