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Subclinical Carditis — RACP Paediatrics MCQ

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HardCardiologySubclinical CarditisRACP Paediatrics

A 6-year-old child is diagnosed with acute rheumatic carditis. Jones criteria require evidence of preceding GAS infection plus major and minor criteria. Which of the following is a major Jones criterion for moderate-to-high-risk populations?

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Correct answer: E — Subclinical carditis detected on echocardiography

The 2015 revised Jones criteria added subclinical carditis (echocardiographic valvulitis without auscultatory findings) as a major criterion, particularly important in moderate-to-high-risk populations such as Aboriginal and Torres Strait Islander Australians.

Reference: RHDAustralia – 2024 – Australian Guideline for ARF and RHD