Musculoskeletal conditions Flashcards
Transient synovitis typical history
- 1 week previous had a URTI
- Fever and limp
- Refusal to weight bear/walk
What is transient synovitis?
- Reactive arthritis affecting the hip and knee most commonly
- Self limiting, often within a week
Management of Transient Synovitis
- Rule out septic arthritis
- Regular NSAIDs e.g. ibuprofen
Typical history of growing pains
- 3 month history of waking at night with bilateral calf pain
- Helped by massage
- Pain-free and active during the day
- Good appetite and growing well with no other health concerns
- Examination of legs normal
What are growing pains?
Benign pains in children aged 3-5 or 8-12 years
Intermittent cramping pains in the calves, thighs or shin
Management of growing pains
Massage the affected area, stretching and analgesia like paracetamol
What are 4 features that suggest the diagnosis is NOT growing pains
- Pain during the day
- Joint swelling seen
- Child unwell with fever/abdo pain
- Abnormal examination and investigations
Typical onset of juvenile idiopathic arthritis
- Onset before 16th birthday
- 6 weeks of joint swelling, limited joint range
- Tenderness
What is a common complication of JIA?
Uveitis
How many joints are affected in Oligoarthritis?
1-4
How can Uveitis be confirmed?
Only confirmed by slit lamp assessment by ophthalmology but if ANA is positive, likely the diagnosis
How many joints are affected in Polyarthritis?
5 or more
Treatment for JIA
- NSAIDs
- Intra-articular steroids
- Methotrexate
Typical hx of benign joint hypermobility syndrome
- Pain in legs after a lot of activity
- Foot pain after walking
- Writing slow and needs a rest after prolonged writing
- Otherwise well
Which conditions need to be ruled out in regards to hypermobility?
- Marfan’s
- Ehler’s-Danlos
