Paeds joint disease Flashcards

1
Q

Development of bones

A
  • total kyphosis - Newborn
  • Cervical lordosis - 3-4 months
  • Thoracic kyphosis - 8-9 months
  • Lumbar lordosis - 1 year

Fusion and minerlisation at first two weeks

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2
Q

Juveeniel idiopathic arthiritic definition

A

Disease of childhood onset characterised by arthritis persistin for at least 6 weeks having no cause

Chronic inflammatory arthropathy

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3
Q

Types of juvenille idiopathic arthritis

A
  • Oligoarticular JIA
  • Polyarticular JA -ve
  • Polyarticular JA +ve
  • Juvenille psoriatic
  • enthesitis related arthritis
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4
Q

Oligoarticular JIA

A
  • 50%
  • a few joints (1-4) in first 6 months
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5
Q

Polyrticular JA-ve

A
  • 5 or more joints
  • RF -ve
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6
Q

polyarticular +ve

A
  • RF +ve
  • 5 or more joint in 1st 6 month
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7
Q

Juveineille psoriatic

A

Arthritis and psoriasis + at least two of

  • dactylitis
  • nail pitting
  • psoriasis in a first degree relative
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8
Q

Enthesitis related arthroapthy

A
  • arthritis or enthesisit (inflammation at the site of tendon insertion)
  • sides of foot, knee and achilles
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9
Q

Vasculitis Types in children

A
  • henoch scholen purpura
  • kawaski disease
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10
Q

Henoch scholen purpura

A
  • most common in children
  • <6 years
  • rash on etensor surfaces
  • blood and protein in urine, High BP
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11
Q

kawaskis disease

A

Inflammation of medium size vessels

  • affects BVs, skin, mmucois membranes and lymph nodes
  • high persitent fever
  • strawberry tongue

Aspirin + high dose IV gamma globulin

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