Figure 1
Simple algorithm for diagnosis of ARF at primary health care centers.
Arthritis: Acute migratory polyarthritis or polyarthralgia. Monoarthritis and monoarthralgia need to be referred without prescribing BPG.
Carditis: Murmurs of mitral and/or aortic valve disease with or without heart failure.
Chorea alone is enough to diagnose ARF.
Figure 2
Factors limiting the use of BPG.