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16 Cards in this Set
- Front
- Back
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what are the three major categories of juvenile arthritis that we learned about?
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Polyarthritis (>5 joints)
Pauciarthritis (further divided into subtypes) Systemic or "Stills Disease" |
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Polyarthritis affects M/F more, and what age?
This is subgrouped based on _ |
F>M, any age
Rheumatoid factor (+ or -) |
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An RF (-) polyarthritis would present how?
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with the same sort of illness as an adult would
Mild lymphadenopathy, hepatosplenomegaly, increased ESR, anemia, thrombocytosis. It has variable course with good functional outcomes |
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How would an RF (+) polyarthritis present?
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Polyarthritis of any joint, rheumatoid nodules, vasculitis, increased ESR, (+) ANA, early erosive changes seen in X rays
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A 14 yo female complains of joint pain, lab results reveal increased ESR, moderate anemia, and rhuematoid nodules are present. What is the dx?
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RF (+) Polyarthritis
This is the more severe polyarthritis |
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A 14 yo female complains of joint pain, lab results reveal increased ESR, moderate anemia, and rhuematoid nodules are present. Genetic screening reveals + HLA DR4. What is the most effective treatment in this patient?
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(RF + polyarthritis)
Anti TNF agents, Also consider DMARDs, Sulfasalazine, NSAIDs, OT, PT, splinting, etc |
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Subtype I pauciarthritis, you think _
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little girls with blindness
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4 year old girl complains of joint pain, lab results show (+) ANA, RF -. What are you most concerned with?
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asymptomatic uveitis.
little girls with joint problems need to be considered for subtype I pauciarthritis, These girls will have asymptomatic uveitis, and if left untreated will cause blindness |
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11 yo boy with sacroiliac pain gets lab results and proves to be RF (-) and HLA b27 (+). What is the dx?
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Subtype II pauciarthritis
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Psoriatic arthritis occurs more frequently (M/F), What are the diagnostic criteria for this dz?
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females.
3/4: Dactylitis (sausage digits), asymmetric peripheral joints, nail pitting, psoriasis, family hx |
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8 yo female presents with asymmetric peripheral joint pain. P/E reveals swollen digits, nail pitting, and dry skin behind the ear. What are treatment options for this patient?
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(Psoriatic arthritis)
Methotrexate, Biological agents, PT, OT, Splinting |
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Still's disease affects M/F more?
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F=M under age 5,
F>M over the age of 5 |
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6 yo female presents with evanescent, salmon pink macular rash, with joint pain, and fever. Lab results reveal leukocytosis and thrombocytosis. What is the dx?
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Systemic Disease ("Still's disease")
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6 yo female presents with evanescent, salmon pink macular rash, with joint pain, and high spiking fever. What would you expect the lab results to look like if she has Still's disease?
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Increased ESR, anemia, leukocytosis, thrombocytosis
IgMRF, ANA (-) |
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Growing pains are typically seen in (m/f) of what age? Where is the pain located, and when does it typically occur?
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M 6-13 yo
LE at night |
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In order to diagnose JIA, the patient must be _ years old and have symptoms for _
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under 17,
Sx > 6 weeks |
