Rheumatic ARF/RHD + case

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Symptoms – depends on valve lesion & severity • May not show for years until disease become severe – SOBOE – Feeling tired – General weakness

• As Lt ventricular failure advances (later) – Orthopnea (SOB on lying down) – Paroxysmal Noctural Dyspnoea (PND) – waking up at night with SOB


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