Which laboratory finding is associated with rheumatic fever?

Enhance your knowledge with the Internal Medicine End of Rotation Exam. Challenge yourself with multiple-choice questions and detailed explanations to ensure you excel.

Elevated ESR (erythrocyte sedimentation rate) is associated with rheumatic fever because it indicates inflammation in the body. Rheumatic fever is a post-streptococcal inflammatory disease that can occur after a throat infection with Group A Streptococcus. The inflammatory process involves the heart, joints, skin, and nervous system, leading to an increased production of acute-phase reactants, including fibrinogen, which causes red blood cells to settle more quickly in a test tube.

In clinical practice, elevated ESR serves as a non-specific marker for the presence of inflammation, which can help in making the diagnosis of rheumatic fever along with clinical signs and symptoms. Presence of a high ESR can therefore support the hypothesis that an inflammatory process is happening, which is key in the context of rheumatic fever, where the body is responding to previous streptococcal infection.

The other options, while they may indicate other conditions, do not specifically correlate with rheumatic fever. High LDL cholesterol is more associated with cardiovascular risk rather than acute inflammatory processes. Low hemoglobin could suggest anemia but isn't specifically linked to rheumatic fever. Similarly, high blood glucose levels could indicate diabetes or stress responses but do not relate to the inflammatory response seen in

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