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Pediatrik > Barnreumatologi > Flashcards

Barnreumatologi Flashcards

1
Q

Icke ortopediska differentialdiagnoser vid hälta? 8 st

A 
Septisk artrit
Leukemi
Hemofili
Osteomyelit
Neoplasi
Reaktiv artrit
Borrelia-artrit
Juvenil artrit
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2
Q

Ortopediska differentialdiagnoser vid hälta? 9 st

A 
Protrusio acetabuli
Coxitis simplex
Perthes sjukdom
Epifyseolys
Mb Osgood-Schlatter
Meniskanomalier
Chondromalaciae patellae
Pigmenterad villonodulär synovit
Trauma
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3
Q

Incidens långvarig artrit?

A

6-20/100000 <16 år

150-175/år i Sverige

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4
Q

Prevalens långvarig artrit?

A

1500 st

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5
Q

Vanligt symptom vid oligoartikulär JRA?

A

Uveit 10-20%

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6
Q

Fördelning av juvenila artriter?

A

50% Oligoartikulär JRA ≦4 leder
40% Polyartikulär JRA ≧5 leder
10% Systemisk JIA

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7
Q

Differentialdiagnoser vid oklar feber? 6 st

A 
Infektion
IBD
Malignitet
Bindvävssjukdom
Castlemans sjukdom
Autoinflammatoriska sjukdomar
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8
Q

Incidens Henoch-Schönleins Purpura?

A

20/100000

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9
Q

Henoch-Schönleins Purpura drabbar vad?

A

Små kärl (arterioler, kapillärer, venoler)

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10
Q

Symptom på Henoch-Schönleins Purpura? 4 st

A

Palpabel purpura >50%
Artrit 25%
GI-symptom 60%
Nefrit 50%

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11
Q

Differentialdiagnoser till Henoch-Schönleins Purpura? 6 st

A 
Sepsis
Meningokockmeningit
ITP
Blodmalignitet
Annan vaskulit, systemsjukdom
Koagulopati
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12
Q

Diagnostik Henoch-Schönleins Purpura?

A

Typisk klinik

Atypisk klinik + histologi

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13
Q

Behandling Henoch-Schönleins Purpura?

A

NSAID

Steroider

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14
Q

Incidens Kawasakis?

A

5-10/100000, stigande

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15
Q

Diagnoskriterier Kawasakis?

A

Feber ≧5 dagar + ≧ 4 av:
Bilateral bulbär konjunktival injektion
Orala mukosaförändringar - röda sprukna läppar, rodnat farynx, smultrontunga
Extremitetsförändringar - rodnade handflator/fotsulor, ödem hand-/fotryggar, periungual fjällning
Polymorft utslag
Cervikal lympadenopati

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16
Q

Komplikationer till Kawasakis? 6st

A 
Chock
Koronarkärlsaneurysm
Minskad myokardkontraktilitet
Arterit i koronarkärl
Mitralisinsufficiens
Perikardit
17
Q

Vad är Kawasakis?

A

Systemisk vaskulit som drabbar artärer

18
Q

Differentialdiagnoser till Kawasakis? 5 st

A 
Infektion
Toxinmedierad sjukdom - scarlatina, TSS
Steven-Johnsons syndrom, serumsjuka
Systemisk JIA
Hg-förgiftning
19
Q

Behandling Kawasakis?

A

IvIg

Aspirin

20
Q

Symptom vid Cryopyrinassocierat periodiskt syndrom - CAPS? 5 st

A 
Urtikaria/hudutslag
Feber
Konjuktivit
Artralgi/artrit/artopati
Aseptisk meningit

Pediatrik (14 decks)

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