Musuq
Forum Guru
Topics: 103
Posts: 425
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A 12-year-old girl is admitted to the hospital because of marked shortness of breath, an erythematous rash, and painful, swollen hip and knee joints. Antistreptolysin O titer is abnormally high. X-ray film of the chest shows an enlarged heart. She develops intractable congestive heart failure and dies on the second hospital day. Which of the following cardiac abnormalities is most likely to be seen at autopsy?
A. Granulomatous pericarditis with caseous necrosis
B. Multiple microabscesses in the myocardium
C. Myocardial edema with Aschoff bodies
D. Stenosis of the aortic valve
E. Stenosis of the mitral valve
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| fongch
Forum Elite
Topics: 71
Posts: 316
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C. The heart failure is probably due to rheumatic myocarditis.
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| aim
Forum Junior
Topics: 4
Posts: 47
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why not mital stenosis
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| Luckyall
Forum Guru
Topics: 11
Posts: 593
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C
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| harvinder singh
Forum Newbie
Topics: 2
Posts: 8
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answer is c.as jones criteria is fulfilled-myocarditis,erythema marginatum,migratory polyarthritis
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| oldkidontheblock
Forum Guru
Topics: 60
Posts: 928
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C. She died of Myocarditis ..most common cause of death in acute disease.
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| euphoric
Forum Senior
Topics: 17
Posts: 104
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yea C
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| babydoc4usmle
Forum Guru
Topics: 18
Posts: 634
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stenosis would be formed with time, which this poor girl didn;t have
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