Pediatric Rheumatology Flashcards
Important to rule out if patient presents with monoarticular pain
Septic Arthritis (only emergency)
Smaller joints (wrists) involvement would pint to?
Juvenile Idiopathic Arthritis (additional 4-6 weeks duration with more than 4 joints involved)
2-4 weeks with involvement of larger joints points to Rheumatic fever (RF)
danger signs to look for in growing pains
systemic sx, persistent,progressing, unilateral pain, pain in the day, limitation of activity, SIGN OF ARTHRITIS, pain in the body
Important requirement for the diagnosis of SLE based on SLICC classification
Requires 1 immunologic, 1 clinical criteria
erytematous plaques with keratotic scaling or atrophic scarring at the back, ear and exposed areas
Discoid lesions
Cutaneous reaction to light
Photosensitivity
important to look in the oral cavity of SLE pts
oral ulcers
Most freqiemt cardiac manifestatin in SLE
Pericarditis
Best screening test for SLE
Anti-nuclear Antibodies (ANA) 95% sensitivity
GI associations of SLE
Intestinal vasculitis, inc. Liver Function test
classic feature of Arthritis in SLE
atleast two joints which are non-deforming
SLE px with +antiphospholipid test are more prone to
vascular events- atherosclerosis,fetal loss
major criteria for RF (jones criteria)
1 carditis 2 polyarthritis 3 syndenham chorea 4 erythema marginatum (like countries) 5 subcutaneous nodules (overlying bony prominences)
diagnosis of rf
requirement:streptococcus infection (aso titers,ab,culture)
+ 2 major criteria
or
one major,one minor (arthralgia,fever,elevated esr,prolonged p-r on ecg)
cut off age for JIA
16 years old
