I do not think I have previously done an entry about work, but here goes.
I saw a 5 year old boy about 2 weeks ago, who was brought in because he had involuntary movements for the previous two weeks, which he demonstrated very well when I saw him. I do believe I heard the diastolic murmur also. Anyway, the discharge summary came today and confirmed that I had seen my first case of acute rheumatic fever.
Wow.
It is not so uncommon here-affects the brown boys and girls.





real Sydenhams chorea ???….cool !
The real deal-wild