Rheumatology - JIA Flashcards
1
Q
Diagnosing JIA - symptoms
A
arthritis for atleast 6 weeks
morning stiff
rash, fever, weight loss
irritable or refuse to walk
2
Q
Differential diagnosis
A
septic arthritis osteomyelitis transient synovitis malignancy haemarthrosis
3
Q
Signs of JIA
A
swelling - periarticular soft tissue oedema tenosynovitis pain held in fixed flexion ROM reduced
4
Q
children with late onset oligo
A
ANA negative
hip involved
5
Q
children with early onset oligo
A
ANA positive - uveitis
knees, hands, ankles, feet
no hip involvement
6
Q
How many joints for poly?
A
5 or more
7
Q
Polyarticular JIA
A
TMJ
systemic - fever, rash, LN
large fast growing joints
8
Q
6 criteria for enthesitis related and how many needed?
A
inflammatory spinal pain HLA B27 SI tender FH acute anterior uveitis poly/oligo arthritis in boy >8 2
9
Q
Psoriatic JIA
A
all HLA B27 positive
dactylitis
onchylosis
FH of psoriasis
10
Q
systemic JIA
A
salmon pink erythematous rash intermittent fever LN serositis hepatosplenomegaly
11
Q
Investigating JIA
A
X-ray, MRI, USS
12
Q
Treating JIA
A
NSAIDs DMARDs biologics ia and oral steroids psychosocial OT, physio
13
Q
ia steroids in JIA
A
oligo
14
Q
DMARD used
A
methotrexate
subcut injection
15
Q
biologics used
A
Anti TNF
