pedi rheum

Question 1

JIA

Answer 1

joint inflammation, 16 years or younger, 6 weeks + of symptoms, no other known causes

Question 2

types of JIA

Answer 2

oligo, poly (+/1 RF), Systemic, enthesitis, psoratic

Question 3

impacts

Answer 3

joint overgrowth, muscular atrophy, micrognathia, contracture, bony erosions, ankylosing, advanced bone age (early fusion of growth plates= small bones)

Question 4

oligoarticular

Answer 4

most common, less than 4 joints, toddlers/girls, normal/mild labs, EYES

Persistent or extended (number joints after 6 month)

Question 5

poly +RF

Answer 5

more than 5 joints, teen girls, systemic, autoantibodies, RH nodules

Question 6

poly -RF

Answer 6

like oligo but more joints EYES

Question 7

systemic

Answer 7

quotidian fever 2+weeks, arthritis, rash (comes and goes, koebner), labs all high except hemaglobin

Question 8

Macrphage activation syndrome

Answer 8

occurs in systemic, big deal, extreme inflammation, labs all LOW. die!

Question 9

enthesitis

Answer 9

ankylosing, older boys, HLA B27, ACUTE EYES

Question 10

psoriasis

Answer 10

rash, dactylics, nail changes, FH of psoriasis. EYES

Question 11

treat

Answer 11

early and aggressive, DMARDS, psych, OT/PT, transition to adult care

Question 12

EYES

Answer 12

anterior uveitis.

Question 13

acute anterior uveitis

Answer 13

painful, HLA b27, less complications because symptomatic

Question 14

chronic unveitis

Answer 14

asymptomatic, need regular follow up. Oligo, RF-, psoriatic

Question 15

synechia

Answer 15

iris inflammation (sticky, not round)

Question 16

hypopyon

Answer 16

fluid in anterior chamber

Question 17

band keratosis

Answer 17

calcium deposits, can result in blindness