Treatment of Migratory Arthritis in Rheumatic fever:
1. Bed rest for 2 weeks
2. Anti-inflammatory drug: Salicylates
a.
Dose: 50-70 mg/kg/day (max
= 6 gram /day) For 3-5 days
b.
Then 50 mg/kg/d for 3
weeks.
c.
Then gradual withdrawal
monitored by decline in ESR & CRP
d.
Side effects: Gastritis, GI
bleeding, Reye syndrome
3. Daily examination is vital to pick carditis that can present
within 2 weeks of the onset
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ReplyDeleteDr Itua is a herbal doctor who resides in west africa. I pay for his herbal items for preparation which he sends to me through courier service then he instructs me on how to drink the herbal medicine for one month and after the one month of treatment I'm now healthy and cured.
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