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Exam (elaborations)

CM Pediatric Rheumatology Exam @ 2024

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CM Pediatric Rheumatology Exam @ 2024...

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  • September 5, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • cm pediatric rheumatology
  • CM Pediatric Rheumatology
  • CM Pediatric Rheumatology
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CM Pediatric Rheumatology Exam @ 2024


List 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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