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HOSPITAL LETTERHEADAnnex O RF/NATIONAL RF/RHD REGISTRY
DATA SHEET
I.
DEMOGRAPHICS
INSTITUTION CODE: ___
PATIENT CODE: ___
REGION (Please encircle):
CAR
NCR
I
II
III
IVA
IVB
V
VI
VII
VIII
IX
X
XI
XII
ARMS
II.
DIAGNOSIS
DATE
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How to fill out rheumatic feverrheumatic heart disease
01
Understand the symptoms: Look for signs such as fever, joint pain, and skin rashes.
02
Consult a healthcare provider: Seek medical advice if symptoms are present.
03
Provide medical history: Share your history of strep throat or prior rheumatic fever with the doctor.
04
Undergo necessary tests: Get blood tests or imaging studies as recommended to confirm diagnosis.
05
Follow treatment plans: Adhere to prescribed antibiotics and anti-inflammatory medications.
06
Monitor heart health: Have regular check-ups to assess any impact on heart function.
Who needs rheumatic feverrheumatic heart disease?
01
Individuals with a history of strep throat or scarlet fever.
02
Children and adolescents, particularly those aged 5 to 15 years.
03
People who have previously experienced rheumatic fever.
04
Those living in low-income countries with limited access to healthcare.
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What is rheumatic fever/rheumatic heart disease?
Rheumatic fever is an inflammatory disease that can develop after a streptococcal throat infection. It can cause damage to the heart, leading to rheumatic heart disease, which affects the heart valves and can result in serious complications.
Who is required to file rheumatic fever/rheumatic heart disease?
Individuals diagnosed with rheumatic fever or rheumatic heart disease may need to file reports as part of public health monitoring. Specific reporting requirements can vary by jurisdiction and may involve healthcare providers.
How to fill out rheumatic fever/rheumatic heart disease?
Filing for rheumatic fever or rheumatic heart disease typically involves completing health reports provided by health authorities, detailing patient information, diagnosis, and treatment. Specific instructions will be provided by local health departments.
What is the purpose of rheumatic fever/rheumatic heart disease?
The purpose of monitoring rheumatic fever and rheumatic heart disease is to track the prevalence, improve prevention strategies, and mitigate complications associated with these conditions.
What information must be reported on rheumatic fever/rheumatic heart disease?
Reported information generally includes patient demographics, clinical diagnosis, any treatments administered, and outcomes, along with relevant laboratory results if applicable.
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