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CM Pediatric Rheumatology Exam @ 2024
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CM Pediatric Rheumatology Exam @ 2024List the three rheumatic diseases of childhood and which is more common?
1. Juvenile Idiopathic Arthritis (JIA)
2. Systemic Lupus Erythematosus (SLE)
3. Juvenile Dermatomyositis (JDM)
more common; JIA
Give broad ddx for rheumatic disease in children
infectious arthritis
reactive arthritis
malignancy
orthopedic conditions; legg-calve-perthes disease, SCFE
AI diseases; kawasaki, MCTD
hematologic; hemophilia, sickle cell
What are some critical components of a physical examination for diagnosing rheumatic
disease related to joints?
Joint examination including assessment of swelling, warmth, erythema, range of motion,
and pain.
What are some critical components of a physical examination for diagnosing rheumatic
disease related to the skin?
Skin examination including assessment for rash, nodules, purpura, and lesions.
What are some critical components of a systemic physical examination for diagnosing
rheumatic disease?
Systemic examination involving cardiovascular, respiratory, abdominal, ophthalmologic,
and neurological assessments.
Subtypes of JIA?
-Oligoarticular
, -Oligoarticular, extended
-Polyarticular, RF negative
-Polyarticular, RF positive
-Psoriatic arthritis
-Enthesitis-related arthritis
-Unclassified
Oligoarticular JIA; number and types of affected joints?
< or equal to 4 joints
asymmetric presentation
large joints; knees, ankles
Lab findings; oligoarticular JIA
+ANA
(but most have no laboratory abnormalities!)
**remember this can be RF negative
Radiology findings for oligoarticular JIA
joint effusion, mild bone overgrowth
joint space narrowing
Clinical manifestations;; oligoarticular JIA
asymmetric joint involvement
chronic uveitis
Outcomes; oligoarticular JIA
good prognosis, but risk of chronic uveitis
this is more mild type of JIA
# and type of affected joints; polyarticular JIA
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