MSK Flashcards
WHAT IS THE DEFINITION OF JIA
A CHRONIC INFLAMMATORY JOINT DISEASE
PERSISTENT JOINT SWELLING
IN ABSCENSE OF INFECTION OR OTHER DEFINED CAUSES
WHAT ARE THE SUBSTYPES OF JIA
OLIGOARTHRITIS
EXTENDED OLIGOATHRITIS
POLYARTHRITIS
SYSTEMIC
PSORIATIC
ENTHESITIS RELATED
UNDIFFERENTATED
A CHILD COMES IN WITH
- MORNING STIFFNESS AND PAIN
- STIFFNESS AFTER REST
- INTERMITTENT LIMP
- LOW MOOD
- POOR BEHAVIOUS
- JOINT SWELLING
- +/- SALMON PINK RASH
JIA
WHAT ARE COMPLICATIONS OF JIA
CHRONIC ANTERIOR UVEITIS
FLEXION CONTRACTURES
GROWTH FAILURE
OSTEOPOROSIS
AMYLOIDOSIS
VALGUS DEFORMITY
HOW DO YOU MANAGE JIA
EDUCATION AND SUPPORT
PHYSIO
NSAID
JOINT INJECTIONS (IF OLIGOARTHRITIS)
METHOTREXATE (POLYARTHRITIS)
PULSED IV CORTICOSTERIOIDS
METHYLPREDNISOLONE FOR SYSTEMIC ARTHRITIS
BIOLOGICS
DESCRIBE THE ARTICULAR PATTERN OF EXTENDED OLIGOARTHRITIS
4< JOINT
AFTER 6M
ASSYMETRICAL JOINT DISTRIBUTION
ANA +VE
DESCRIBE THE ARTICULAR PATTERN + LAB RESULTS OF OLIGO ARTHRITIS
1-4 JOINTS
MOST COMMONLY KNEE, ANKLE, WRIST
+/-ANA +VE
DESCRIBE THE ARTICULAR PATTERN + LAB RESULTS POLYARTHRITS
SYMMETRICAL JOINTS DISTRIBUTION WITH HIGH FINGER INVOLVEMENT
1-6Y: RF -VE
10-16Y: RF +VE (POOR PROGNOSIS)
WHAT DOES AMYLIODOSIS CAUSE
PROTEINUREA
RENAL FAILURE
HIGH MORTALITY
WHY DOES OSTEOPOROSIS OCCUR IN JIA
REDUCED WEIGHT BARING
STEROIDS
WHAT IS THE TREATEMENT OF JIA OSTEOPOROSIS
CALCIUM
VIT D
WEIGHT BARING EXCERSISES
DECREASE STERIODS
BISPHOSPHONATES
WHY DO FLEXION CONTRACTURES OCCUR
FROM HOLDING THE JOINTS IN THE MOST COMFORTABLE POSITION
WHAT ARE THE COMMON COMPLICATONS IN JIA FLEXION CONTRACTURES
JOINT DESTRUCTION REQUIRING REPLACEMENT
HOW DO YOU TREAT CHRONIC ANTERIOR UVEITIS
CORTICOSTEROID EYEDROPS
MYCROLITIC EYE DROPS
CORTICOSTEROID INJECTION
SYSTEMIC CORTICOSTEROIDS
WHAT IS CHRONIC ANTERIOR UVEITIS
INFLAMMATION OF THE ANTERIOR PART OF THE EE
VERY COMMON COMPLICATION OF IBD AND ARTHRITIS THAT CAN LEAD TO VISUAL IMPAIREMENT
DESCRIBE THE ARTICUALR FINDINGS OF PSORIATIC ARTHRITIS
ASYMMETRICAL DISTRIBUTION
DACTYLISIS
PSORIASIS
NAIL PITTING
WHAT IS THE PRESENTATION OF SYSTEMIC ARTHRITS
AND LAB FINDINGS
OLIGOARTHRITIS/POLYARTHRITIS
PAIN IN MUSCLES
ACUTE ILLNESS
SALMON PINK RASH
RAISED WCC
RAISED PLATELETS
RAISED INFLAM MARKERS
WHAT ARE FEATURES ONLY FOUND IN POLYARTHRITIS FROM 10-16Y
RHEUMATOID NODULES
HOW DO YOU DIAGNOSE SEPTIC ARTHRITIS
BLOOD CULTURES
BLOODS
JOINT ASPIRATE
US
XRAY
BRI
BONE SCAN
HOW DOES THE PRESENTATION OF SEPTIC ARTHRITIS DIFFER IN INFANTS
PEUDOPARALYSIS
CRY IF JOINT IS MOVED
WHAT IS THE PRESENTATION OF SEPTIC ARTHRITISIN CHILDREN
ERYTHETEMATOUS
ACUTELY TENDER
REDUCED ROM
ACUTELY UNWELL AND FEBRILE CHILD
WHAT PATHOGENS COMMONLY CAUSE SEPTIC ARTHRITIS
STAPH. AUREUS
HiB
WHAT IS TRANSIENT SYNOVITIS
MOST COMMON CAUSE OF HIP PAIN IN CHILDREN OFTEN ACCOMPNIED BY A VIRAL INFECTION
WHAT IS THE PRESENTATION OF TRANSENT SYNOVITIS
SUDDEN ONSET OF PAIN
LIMP
DECREASED ROM
REFFERRED KNEE PAIN
AFEBRILE/LOW GRADE FEVER
WHAT INVESTIGATIONS WOULD YOU USE TO DIFFERENTIATE TRANSIENT SYNOVITIS FROM SEPTIC ARTHRITIS
BLOOD CULTURES
JOINT ASPIRATION
OUTLINE THE DIFFERENCES BETWEEN SEPTIC ARTHRITIS AND TRANSIENT SYNOVITIS
HOW DO YOU MANAGE TRANSIENT SYNOVITIS
BED REST +/- SKIN TRACTION
WHAT DSEASE CAN HAVE TRANSIENT SYNOVITIS AS A PRECURSER
PERTHES
WHAT IS SEPTIC ARTHRITIS
A SERIOUS INFECTION OF THE JOINT SPACE WHICH CAN LEAD TO BONE DESTRUCTION
HOW DO YOU TREAT SEPTIC ARTHRITIS
IV ABX > PO ABX
SURGIAL LAVAGE
IMMOBALIZATION OF JOINT
MOBALISATION
WHAT ABX WOULD YOU USE IN SEPTIC ARTHRITIS FOR S. AUREUS
FLUCLOXACILLIN
OR
CEPHALEXIN
WHAT ABX WOULD YOU USE IN SEPTIC ARTHRITIS FOR HiB
CEFTRIAXONE
WHAT IS HIP DISPLASIA
AN ABNORMALITY OF THE HIP JOINT WHERE THE SOCKET DOESNT FULLY COVER THE BALL