PEDIATRIC INFECTION AND ARTHRITIDES Flashcards

1
Q

onset is under 16 years of age that causes inflammation and stiffness of joint for > 6 weeks

systemic autoimmune condition

what is this disease?

*growing pains at night and legs

A

Juvenile Idiopathic Arthritis (JIA) aka Juvenile Rheumatoid Arthritis (JRA)

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2
Q

what is this disease?

child presents to ED with fever, rash, cold and bites.

A

Lyme disease-Borrelia burgdorferi

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3
Q

lab tests observed in patients with systemic JIA (Stills Disease)?

A
markedly elevated WBCs but no infection found
decreased RBCs
elevated ESR, CRP and ferritin
ELISA positive
RF factor-positive
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4
Q

what is this presentation:

affects joints of hand and feet but can involve large joints, symmetrical; affects more than 4 joints with pain lasting more than 6 weeks, begins before the age of 16 years of age, chronic anterior uveitis may occur, signs include:

limp, joint swelling, fever, light pink rash, hear liver spleen and lymph nodes

A

polyarticular JIA

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5
Q

what is this disease?

besides from the persistent arthritis, must also have 2 of the following

  • persistent sacroiliac joint tenderness
  • positive HLA B27 antigen
  • acute symptomatic anterior uveitis
  • 1st degree with associated h/o of inflammatory disease
A

juvenile ankylosing spondylitis

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6
Q

acronym for SLE diagnosis?

A

MD Please Offer ALL RNS A Holiday Immediately

malar rash
discoid rash
photosensitivity 
Oral/nasal ulcerations
Arthritis
Renal Abnormalities
Neurological abnormalities
Serositis
ANA positive 
Hematologic abnormalities
Immune Autoantibodies
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7
Q

what is this disease:

characteristics:

  • early localized disease
  • early disseminated disease
  • late disease

exposure in endemic areas

positive lyme ELISA confirmed by positive western Blot

western Blot is considered positive if IgM, IgG present

A

lyme disease

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8
Q

name this disease?

dactylitis
nail abnormalities
family history of psoriasis in 1st degree relatives

A

psoriatic arthritis

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9
Q

bone or joint infection confined to the synovium of a joint

hip, knee, ankle

what is this disease?

A

neisseria septic arthritis

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10
Q

Kocher’s Criteria for scoring in patients with suspected septic arthritis?

A

non weightbearing on affected side
ESR>40
Fever>38.5
WCC>12,000

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