“ Heart disease arising from rheumatic fever (a complication of a streptococcal pharyngitis ). May affect the myocardium, pericardium or va...
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Heart disease arising from rheumatic fever (a complication of a streptococcal pharyngitis).
May affect the myocardium, pericardium or valves (mitral valve affected most often).
PLAIN FILM
• Enlarged left atrial appendage/left atrium is classic (splaying of the carina with left atrial enlargement).
• Mitral stenosis—look for evidence of pulmonary oedema, left atrial enlargement, alveolar haemorrhage and pulmonary ossification (due to pulmonary haemosiderosis).
• Mitral regurgitation—look for left ventricular enlargement.
• Also look for pericardial calcification, valvular calcification and global cardiomegaly.
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