elevated jugular venous pressure), and the rash of erythema marginatum The Carey Coombs Murmur occurs during acute rheumatic fever. Mitral valvulitis can occur causing thickening of the leaflets.

Clinically, rheumatic fever is diagnosed by such manifestations as subcutaneous nodules, chorea, erythema marginatum, carditis and arthritis. Subcutaneous nodules are a late manifestation ...