<prompt> Which of the following is not included in Jones Major CriteriaPancarditisChoreaSubcutancous noduleHigh ESR  <response>: Answer is D High ESR Elevated High ESR is a minor criterion and not a major criterion Jones criteria World Health Criteria for the diagnosis of Rheumatic fever and rheumatic hea disease Major manifestations Carditis Polyahritis Chorea Erythema marginatum Subcutaneous nodules Minor manifestations Clinical: fever, polyahralgia Laboratory: elevated erythrocyte sedimentation rate or leukocyte count Electrocardiogram: prolonged P-R interval Revised Jones criteria do not include elevated leucocyte count as a laboratory minor manifestation but do include elevated C-reactive protein Suppoing evidence of a preceding streptococcal infection within the last 45 days Elevated or rising anti-streptolysin 0 or other streptococcal antibody, or A positive throat culture, or Rapid antigen test for group A streptococcus, or Recent scarlet fever a 1992 Revised Jones criteria do not include recent scarlet fever as suppoing evidence of a recent streptococcal infection Diagnostic Categories Criteria Primary episode of rheumatic fever Two major or one major two minor manifestations plus evidence of preceding group A streptococcal infection Recurrent attack of rheumatic fever in a patient without established rheumatic hea disease Two major or one minor manifestations plus evidence of preceding group A streptococcal infection Recurrent attack of rheumatic fever in a patient with established rheumatic hea disease Two minor manifestations plus evidence of preceding group A streptococcal infection 