Rheumatology Flashcards
1
Q
What is Juvenile Idiopathic Arthritis?
Generally outline the pathophysiology.
A
Most common chronic rheum disease in children.
Not completely understood - there is a genentic suseptability.
- Immune response
- Pro-inflammatory markers
- Presnce of antibodies
2
Q
What are the clinical features of Juvenile Idiopathic Arthritis?
A
Arthritis for at least 6 weeks
- Morning stiffness/jelling
- Irritability / refusal to walk in toddlers
- School absence or limited ability in physical activity
- Rash / fever
- Fatigue
- Poor appetite / wt loss
- Delayed puberty
3
Q
What are some differentials for JIA?
A
- Septic arthritis
- Osteomyelitis
- Transient Synovitis
- Maligancy
- Recurrent hemarthrosis - Haemophilllia????
- Vascular Abnormalities
- Trauma
4
Q
What sings may be seen on examination in JIA?
A
- Swelling
- Periarticular soft tissue oedema
- Intraarticular effusion
- Hypertrophy of synovial membrane
- Tenosynovitis (swollen tendons)
- Pain
- Joint held in position of max. comfort
- Limited range of motion at extremities.
5
Q
Where can you find the rest of the info
A
JIA in MSK :)
