Juvenile Arthritis Flashcards
1
Q
diagnosis criteria?
A
arthritis for at least 6w morning stiffness irritability/refusal to walk school absence rash/fever/fatigue poor appetite - weight loss delayed puberty
2
Q
signs of JIA?
A
swelling - periarticular tenosynovitis pain joint held in comfort position limited ROM
3
Q
systemic signs in JIA?
A
intermitten fever >2w salmon pink rash general lymphadenopathy serositis hepato/splenomegaly high inflammatory markers
4
Q
investigations? (4)
A
labs
plain XR
US
MRI with contrast
5
Q
goals of treatment?
A
pharmacological mgmt psychosocial factors school performance nutrition physiotherapy OT
6
Q
best treatment to get remission > 6 moths?
A
intraarticular steroids
7
Q
what is the DMARD of choice?
A
methotrexate
8
Q
what is the biologics of chouce?
A
anti-TNF agents
9
Q
what is a common condition associated with JIA?
A
uveitis
10
Q
uveitis symptoms?
A
red eyes
headache
reduced vision
11
Q
treatment for uveitis?
A
DMARD and biologics
poor response to steroids
12
Q
complications of JIA? (3)
A
poor growth
contractures
ocular complications
