Diagnosis of rheumatic fever is not difficult, and despite that, it is commonly overdiagnosed!
Now we need to have a few questions answered specifically:
First, we need a description of the arthritis. Is it just hurting, or do the joints actually become swollen, red, hot and tender? Also, does it affect the big joints, like the knees and elbows, or is there affection of other smaller joints?
As regards the rash, Andrew's, did it appear as pink to red rings or wavy lines raised above the surface? Can you describe their distribution?
Do either of your kids have chest pain, shortness of breath or palpitations?
Are there any abnormal involuntary movements?
Do you feel any small hard lumps under the skin?
Your answers to these questions will guide us a lot.
Dr. Heba Ismail, M.D.