Rheumatology Flashcards
What is joint pain; caused by narrow set of conditions?
arthralgia
What is joint inflammation?
arthritis
Name that joint pain: joint px in one area, & next day another joint plus is in pain in addition to the initial joint?
Additive arthritis
Name that condition: not joint specific; back & knee are common; occurs at night; child wakes up screaming; Tylenol and massage stops crying
growing pains
Name that condition: very flexible people; px is always symmetrical & from movement
benign hypermobility
Name that condition: includes joint and muscle pain; goes with anxiety and depression
amplified pain
Name that condition: only one joint is effected; accompanied by FEVER
septic arthritis
Name that condition: caused by recent infection; the antibodies who fought original systemic infection attack the synovial lining; very responsive to NSAIDS?
reactive arthritis
Name that condition: : low grade fever, won’t walk due to px; type of reactive arthritis that lasts a couple days; 2-6y/o with preceding cold, only one hip
Post-infectious synovitis of the hip
Name that condition: can have inflammation and pain; can get uveitis and go blind if left untreated?
Juvenile idiopathic arthritis (JIA)
Name that condition: whole limbs hurt; wakes from sleep; night pain
cancer
macrophage activation syndrome & uveitis are complications of what joint condition in children?
JIA
This condition is marked by inflammation of synovial lining of the joint; can cause articular tissue destruction if left untreated; between 1-3 & 8-12 and more common in females?
JIA
first line therapy for JIA?
NSAID’s
What is the indication for use of corticosteroids in cases of JIA?
internal organ involvement/inflammation
This drug is indicated in polyarticular JIA and non-responsive other types?
Methotrexate
This type of JIA is Inflammation where tendons insert & is treated with TNF blockers
Enthesitis
This type of JIA Present with systemic inflammation marked by a fever that spikes 1-2x per day and can last months, have salmon colored rash, and is very resistant to tx?
systemic JIA
This type of JIA impacts >5 joints; commonly medium to small joints (ankle, hand, wrist); arthritis is usually symmetrical; Females more common;
polyarticular
This type of JIA impacts <5 joints; Knee is most common; common in children 1-3y/o and carries biggest risk for uveitis?
Oligoarticular
The patho of this condition is characterized by inflammation of small blood vessels with leukocytic infiltration of tissue?
HSP or IgA vasculitis
This condition is the most common systemic vasculitis of childhood and cause of nonthrombocytopenic purpura; 3-15y/o; male more common; winter months more common?
HSP or IgA vasculitis
This condition presents in children 4-10y/o with a palpable purpura rash on the waste, butt, and legs, knee arthritis, and is DX with skin biopsy
HSP or IgA vasculitis
bowel obstruction or perforation is a complication of what condition?
HSP
A fever x 5 days without cause, conjunctival injection, rash, adenopathy, strawberry tongue & dry cracked lips, hands and feet are swollen and fingers peel?
Kawasaki disease
Patho of this condition is inflammation of small to medium arteries resulting in aneurism
kawasaki
IV immunoglobulin and aspirin are the treatment for what conditon?
kawasaki
This condition is more common in females, 9y/o or younger, presents with symmetrical joint pain in smaller joints, and is accompanied by fatigue, weight loss, photosensitivity, and malar rash?
systemic lupus erythematous (SLE)
methylprednisone and prednisone are mainstay of treatment for this condition, but Hydroxychloroquine can be used and provide longer period of remission and reduce vascular complications
SLE
