Rheumatology_Arthritis

Question 1

What are the signs and symptoms of Systemic JIA?

Answer 1

Fever (Characteristic fever where it falls below the baseline)
Rash
Early AM Stiffness
Hepatosplenomegaly

Question 2

Complications of Systemic JIA?

Answer 2

Serositis

e.g. Cardiac tamponade

Question 3

Oligarticular JIA, extra articular manifestation

Answer 3

Anterior Uveitis

Needs 3-4 monthly review

Question 4

Polyarticular JIA, which joints affected

Answer 4

Large joints
TMJ
Cerivcal spine arthritis (can lead to growth disturbance)

Question 5

What are the extra articular manifestations of spondylar arthropathies?

Answer 5

Skin - Psoariasis
Eyes - Iritis, Conjunctivitis
GI - Inflammatory bowel, apthous ulcers
Ethesitis - pain at the sites of tendon attachments

Question 6

1. What is Osgood–Schlatter disease?
2. Characteristic of the pain
3. What is the complication?

Answer 6

1. Inflammation of the patellar tendon attaching at the tibial tuberosity
2. Characteristically pain occurs post activity, is self limiting
3. Can cause avulsion fractures

Question 7

1. What is Severs Disease?

Answer 7

Inflammation of the growth plate of the calcaneus

pain post running/jumping

Question 8

How do you dx arthritis in children?

Answer 8

Onset <16 yrs
Duration >6 weeks
Exclusion of other “arthritis”

There is NO DIAGNOSTIC TEST