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17 Cards in this Set
- Front
- Back
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Monoarthritis is what until proven otherwise?
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septic arthritis
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What are some of the key features of growing pains?
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MC in 6-13 yrs of age,Usually lower extremities,Pain not localized to joints,Most frequent at night,Normal growth,Good response to heat, massage and analgesics
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What are the key features of JRA rash?
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non pruritic,associated with fever/splenomegaly
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How many joints are involved with each of these terms describing arthritis?,Mono,Oligo ,Pauci ,Extended Pauci,Poly
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Mono - 1 joint,Oligo - (2-4) joints,Pauci - <5 joints,Extended Pauci - > 5 joints,Poly - 6+ joints
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What are the ACR classification criteria for juvenile idiopathic arthritis?
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Age at onset < 17 year,Arthritis in 1 or more joints,Duration of disease > 6 weeks,Type of onset of disease during the first 6 mos,Polyarthritis,Pauciarthritis,Systemic Disease,Exclusion of other forms of juvenile arthritis
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What are the major features of systemic juvenile idiopathic arthritis (Still's disease)?
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High fever (Hectic)*,Arthritis,Rash*,Adenopathy,Myalgia,Malaise,Arthralgias*,Hepatosplenomegaly,Serositis,Hepatitis,Anemia,DIC
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What are some key features of rash associated with systemic jeuvenile rheumatoid arthritis?
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macular,pruritis unusual,associated with fever (intermittent)
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What are some of the important lab findings involved in systemic onset of juvenile idiopathic arthritis?
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High ESR,Anemia,Leukocytosis*,Thrombocytosis,IgM RF - neg,ANA - neg
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What form of juvenile idiopathic arthritis is characterized by the following lab values?,ESR - inc or wnl,Hb/Hct - wnl,WBC - wnl,Platelets - wnl,RF - neg,ANA - freq + (40-75%)**,HLA A2, DR5, DRw6, & DRw8
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Pauciarticular disease I
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What are the clinical features of pauciarticular disease I?
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arthritis of <5 joints,early growth abnormalities,assymptomatic uveitis (1/3)
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What laboratory finding often correlates with assymptomatic uveiitis/arthritis?
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positive ANA
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What type of juvenile idiopathic arthritis most commonly affects boys older than 9 and often presents with sacroiliac pain or axial disease?
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pauciarticular disease II,(juvenile spondyloarthropathy)
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What are the clinical features of pauciarticular disease II?
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Peripheral arthritis primarily lower extremities,Enthesopathies,Acute iritis,Sacroiliac pain in some,Axial disease in some,Spinal involvement* (Positive Schober's test)
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What type pauciarticular disease is associated with positive HLA - B27?
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pauciarticular disease II,(juvenile spondyloarthropathy)
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What subtype of pauciarticular arthritis is associated with psoriatic symptoms?
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subtype III
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What are the clinical features of pauciarticular arthritis type III?
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dactylitis*,Asymmetric,Flexor tenosynovitis,Occas. severe destructive arthritis,Systemic features rare,Nail pitting*,Onycholysis,Psoriasis
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What drugs have been approved by the FDA for the treatment of Juvenile Rheumatoid arthritis?
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NSAIDS,Gold,Sulfasalazine,Anti-TNF agents (Etanercept)
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