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Flashcards in Kids arthritis Deck (23):
1

def. of arthritis

joint swelling/effusion OR
2 of
- tenderness/pain on movement
- limited movement
- increased warmth

2

what is diagnosis of JIA

diagnosis of exclusion - need to rule out other casues

3

6 main things to rule out

1. trauma
2. infection
3. neoplasm
4. mech
5. autoimmune
6. pain syndromes

4

2 signs of trauma

- injury
- hemarthrosis

5

4 signs of infection

1. fever
2. pain and tenderness
3. swelling
4. redness

6

why is infection importantq

emergency
- aspirate
- AB

7

possible cause of infection (5)

-TB
- parvo
- lymes
- strep A
- reactive

8

2 types of neoplasms

1. bone tumor
2. systemic malignancy

9

4 possible mechanical causes

1. AVN of head of femur (boys 4-10)
2. slipped capital of femor (obese boys 10-14)
3. hypermobility
4. overuse

10

3 autoimmune causes

1. SLE
2. dermatomyocytis
3. vasculitis

11

2 common pain syndromes

1. growing pains
2. complex regional pain syndrome

12

features of growing pain

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

13

feat. of CRPS

- F>>>M
- may follow trauma
- autonomic changes
- psych factors important

14

3 classification crit. for JIA

- onset 6 weeks
- excluded other causes

15

3 major subtypes

1. olio 5
3. systemic

16

feat. of oligo

- age M
- large joints more common - esp knee
- ANA + in 80%
- RF -ve

17

4 possible compluications from oligo

1. knee flexion contracture
2. quad atrophy
3. leg length discrepancy
4. growth disturbance

18

most common extra-art manifestation of oligo

uveitis
- asymptomatic and requires eye exams

19

2 treatments for oligo

1. injections
2. NSAIDS

20

feat of poly

- young F>M
- small and large joints
- uverritis in 10%
- ANA in 50%
- RF neg

21

poly art treatment

1. nsaids/injections
2. then methotrexate
3. then TNF antag.

22

7 extra-art feat. of systemic

- fever
- rash
- lymphadenopathy
- hepatospenomegaly
- serositis
- anemia
- ESR, CRP high

23

treatment of systemic

biologics
- then prednisone

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