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PATHOPHYSIOLOGY:

RHEUMATIC HEART DISEASE

GROUP A HEMOLYTIC STREPTOCOCCI CAUSES PHARYNX

PHARYNGITIS

DIFFUSE PROLIFERATIVE AND EXUDATIVE INFLAMMATORY PROCESS

ANTIGEN ANTIBODY RESPONSE

ANTIGEN BIND TO RECEPTORS OF THE HEART

PERICARDIUM MYOCARDIUM ENDOCARDIUM

PERICARDITIS MYOCARDITIS

SEROFRIBROUSE EXUDATES FIBROTIC CHANGES

THICKENING OF LAYER CHF

FIBROUS ADHESIONS OF LAYER

PERICARDIAL FRICTION RUB

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