Pediatric Emergency MCQ No 22

Question 22

In suspected acute rheumatic fever the following indicate carditis:
A. An ESR of 120 mm in one hour.
B. Short apical soft systolic bruit.
C. Strong cardiac impulse at the apex, which is displaced laterally.
D. Sinus arrhythmia.
E. Erythema nodosum.
ANSWER & COMMENTS:
•C
•Comments:
–The confirmation of rheumatic carditis solely depends on the findings of mitral and or aortic incompetence.