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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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Disorders of the Skeletal Muscle01:28

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The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
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Myasthenia Gravis ll: Pathophysiology01:22

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The disease process of myasthenia gravis begins at the neuromuscular junction, where antibodies attack key proteins needed for muscle activation. This immune reaction weakens signal transmission, leading to the characteristic muscle fatigue and weakness that define the condition.Immune-Mediated DamageIn most individuals, antibodies target acetylcholine receptors (AChRs) on the postsynaptic membrane of muscle cells. By blocking acetylcholine binding, these antibodies prevent the nerve signal...
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Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Related Experiment Video

Updated: Apr 21, 2026

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
04:37

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research

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[Rheumatic tendon pathologies].

M Thomas1, M Jordan

  • 1Abteilung für Fuß- und Sprunggelenkschirurgie, Hessingpark- Clinic, Hessingstr.17, 86199, Augsburg, Deutschland, manfred.thomas@hessingpark-clinic.de.

Zeitschrift Fur Rheumatologie
|November 7, 2014
PubMed
Summary
This summary is machine-generated.

Rheumatoid arthritis commonly affects the foot and ankle, often requiring surgical intervention for tendon issues when conservative treatments fail. Early surgical repair, including tenosynovectomy and tendon transfer, is crucial for maintaining mobility in patients with rheumatic diseases.

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Area of Science:

  • Orthopedics
  • Rheumatology
  • Podiatry

Background:

  • Rheumatoid arthritis affects ~2% of Europeans, with peak incidence in the 4th-5th decades.
  • Foot and ankle symptoms occur in 15% of rheumatoid arthritis patients.
  • Early pharmaceutical therapy is essential, but surgery may be needed if it fails.

Purpose of the Study:

  • To review common tendon reconstruction interventions for rheumatism patients.
  • To outline indications for these surgical procedures.
  • To present conservative therapy options for rheumatic foot and ankle alterations, focusing on tendon pathologies.

Main Methods:

  • A selective literature search was performed.
  • Focus on therapeutic options for rheumatic tendon pathologies.

Main Results:

  • Surgical interventions include tenosynovectomy, tendon sutures, and tendon transfer.
  • Combined interventions (arthrodesis, endoprostheses, resection arthroplasty) are indicated for destroyed or dislocated joints.
  • Timely intervention is critical for successful outcomes.

Conclusions:

  • Preserving function through tenosynovectomy, tendon sutures, or transfer is prioritized.
  • Complex joint issues require combined surgical approaches.
  • External supports like orthotics offer symptomatic relief but not causal treatment.