Rheumatology Flashcards

1
Q

what is the most common rheumatological disease in children?

A

JIA

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2
Q

what are the symptoms of JIA?

A

arthritis for at least 6 weeks

morning stiffness

irritability or refusal to walk

rash/fever

school absence

fatigue

poor appetite/ weight loss

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3
Q

differential diagnosis for JIA

A

transient synovitis

osteomyelitis

septic arthritis

malignancies (neuroblastoma, lymphoma)

trauma

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4
Q

signs of JIA

A

swelling (periarticular soft tissue oedema/ hypertrophy of synovial membrane)

tenosynovitis

pain

limited range of motion

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5
Q

oligoarthritis

A

two to four joints affected by disease

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6
Q

20-30% of JIA develop what?

A

Iridocyclitis (anterior uveitis)

test positive for ANA

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7
Q

early onset JIA

A

knees

ankles

hands

feet

wrist

(no hip)

(late onset involves the hip)

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8
Q

Polyarticular JIA is how many joints?

A

5 or more

Seropositive

more common in girls than boys

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9
Q

enthesitis related JIA should have 2 of these 6 red flags:

A

HLA b27 positivity

polyarthritis onset in a boy under 8

acute anterior uveitis

spinal pain

sacroiliac joint tenderness

FH of enthetitis related JIA

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10
Q

enthesitis

A

inflammation of entheses - where the tendons or ligaments insert into the bone

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11
Q

what skin condition is associated with JIA?

A

psoriasis

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12
Q

systemic JIA symptoms

A

Unwell
Arthritis
Intermittent fever>2 weeks

Salmon pink erythematous rash

Generalized lymphadenopathy

Serositis

Hepatomegaly/splenomegaly

High inflammatory markers

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13
Q

how do you treat JIA?

A

DMARD (methotrexate!)

Intra-articular steroid injections

biologics (TNF alpha inhibitors)

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14
Q

all children with JIA undergo screening for what?

A

uveitis

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