Kids arthritis Flashcards

1
Q

def. of arthritis

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

what is diagnosis of JIA

A

diagnosis of exclusion - need to rule out other casues

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3
Q

6 main things to rule out

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

2 signs of trauma

A
  • injury

- hemarthrosis

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5
Q

4 signs of infection

A
  1. fever
  2. pain and tenderness
  3. swelling
  4. redness
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6
Q

why is infection importantq

A

emergency

  • aspirate
  • AB
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7
Q

possible cause of infection (5)

A
  • TB
  • parvo
  • lymes
  • strep A
  • reactive
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8
Q

2 types of neoplasms

A
  1. bone tumor

2. systemic malignancy

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9
Q

4 possible mechanical causes

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

3 autoimmune causes

A
  1. SLE
  2. dermatomyocytis
  3. vasculitis
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11
Q

2 common pain syndromes

A
  1. growing pains

2. complex regional pain syndrome

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12
Q

features of growing pain

A
  • 3-10yo
  • calf, thigh, shins
  • bilateral
  • at night
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13
Q

feat. of CRPS

A
  • F»>M
  • may follow trauma
  • autonomic changes
  • psych factors important
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14
Q

3 classification crit. for JIA

A
  • onset 6 weeks

- excluded other causes

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15
Q

3 major subtypes

A
  1. olio 5

3. systemic

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16
Q

feat. of oligo

A
  • age M
  • large joints more common - esp knee
  • ANA + in 80%
  • RF -ve
17
Q

4 possible compluications from oligo

A
  1. knee flexion contracture
  2. quad atrophy
  3. leg length discrepancy
  4. growth disturbance
18
Q

most common extra-art manifestation of oligo

A

uveitis

- asymptomatic and requires eye exams

19
Q

2 treatments for oligo

A
  1. injections

2. NSAIDS

20
Q

feat of poly

A
  • young F>M
  • small and large joints
  • uverritis in 10%
  • ANA in 50%
  • RF neg
21
Q

poly art treatment

A
  1. nsaids/injections
  2. then methotrexate
  3. then TNF antag.
22
Q

7 extra-art feat. of systemic

A
  • fever
  • rash
  • lymphadenopathy
  • hepatospenomegaly
  • serositis
  • anemia
  • ESR, CRP high
23
Q

treatment of systemic

A

biologics

- then prednisone