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Related Concept Videos

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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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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Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

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Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
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Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

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Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
2
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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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 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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Long COVID for the Rheumatologist: Current Understanding and Approach to Management.

Leonard H Calabrese1, Cassandra Calabrese2

  • 1Department of Immunologic and Rheumatic Diseases, Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.

Rheumatic Diseases Clinics of North America
|November 16, 2024
PubMed
Summary
This summary is machine-generated.

Millions suffer from long COVID, a post-infectious condition. Rheumatology can study its links to conditions like fibromyalgia to improve patient care.

Keywords:
COVID-19InfectionLong COVIDPostinfectiousSARS-CoV-2

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Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Post-Infectious Syndromes

Background:

  • Tens of millions worldwide experience post-infectious sequelae after SARS-CoV-2 infection, commonly known as long COVID.
  • Long COVID presents symptoms that overlap with established rheumatic conditions, such as fibromyalgia.
  • This highlights a need to investigate the connections between viral infections and autoimmune or inflammatory responses.

Purpose of the Study:

  • To explore the relationship between long COVID and other post-acute infectious sequelae.
  • To investigate the parallels between long COVID symptoms and rheumatic diseases like fibromyalgia.
  • To leverage rheumatology's expertise in understanding and managing complex inflammatory and non-inflammatory conditions.

Main Methods:

  • This study is a conceptual and observational review.
  • It involves analyzing the clinical manifestations of long COVID.
  • Comparison of long COVID symptoms with known rheumatic disease presentations, including fibromyalgia.

Main Results:

  • Long COVID shares significant clinical overlap with various rheumatic diseases.
  • Post-infectious syndromes present a unique challenge and opportunity for rheumatological research.
  • Rheumatology possesses established skill sets applicable to understanding long COVID.

Conclusions:

  • Long COVID represents a significant post-infectious challenge with implications for rheumatology.
  • Further research is needed to elucidate the mechanisms linking viral infections to rheumatic symptoms.
  • Rheumatologists are well-positioned to contribute to the understanding and management of long COVID patients.