15.2 Arthritis in Children

Question 1

definition of arthritis? 3 things:

Answer 1

joint swelling/effusion
tenderness
limited range
increased warmth

Question 2

Juvenile idiopathic arthritis criteria?

Answer 2

onset <16
more than 6weeks
-excluding other causes

Question 3

what infection can cause joint pain in kids without high fevers?

Answer 3

TB

Question 4

what virus can cause arthritis?

Answer 4

parvovirus arthritis

Question 5

arthritis presentation in kids symptoms?

Answer 5

less pain

-stiffness and swelling

Question 6

what cancers can present with polyarthropathy?

Answer 6

leukemia
lymphoma
neuroblastoma
-normally systemically unwell, night pain/constitutional symptoms

Question 7

likely age of slipped cap?

Answer 7

10-14

Question 8

likely age of transient synovitis?

Answer 8

2-6

-follow viral infecction

Question 9

subacute presentation of limp think? which age?

Answer 9

avascular necrosis in 4-10 year olds

Question 10

what is growing pains? what age? where?

Answer 10

age 3-10
calf, thigh, shins, bilateral
at night

Question 11

Juvenile idiopathic arthritis sytemic features?

Answer 11

-elevated platelets, not typical in oncology
-fever
rash
athritis
hepatosplenomeg
lymphadeno
serositits
anaemia
high ESR, CRP

Question 12

when does the rash in JIA come on?

Answer 12

during the fever

Question 13

Uveitis in JIA?

Answer 13

aymptomatic

needs eye exams and repeast every 3/12

Question 14

approach for JIA?

Answer 14

NSAIDS
joint injectoin
stemic: pred