The document discusses arthritis in pediatrics. It defines arthritis as an inflammation of the joints that causes pain and structural damage. Arthritis in children is called childhood arthritis or juvenile arthritis. The document lists some common causes of arthritis including septic arthritis, viral arthritis, mycobacterial arthritis, Lyme disease, rheumatoid arthritis, rheumatic fever, and reactive arthritis. It provides guidance on evaluating a pediatric patient for arthritis by considering factors like the number of joints affected, symmetry, distribution, and extra-articular symptoms. Ultrasound and X-rays can be used to examine joints for signs of synovitis, tenosynovitis, bone erosions, and crystal deposits
The document discusses arthritis in pediatrics. It defines arthritis as an inflammation of the joints that causes pain and structural damage. Arthritis in children is called childhood arthritis or juvenile arthritis. The document lists some common causes of arthritis including septic arthritis, viral arthritis, mycobacterial arthritis, Lyme disease, rheumatoid arthritis, rheumatic fever, and reactive arthritis. It provides guidance on evaluating a pediatric patient for arthritis by considering factors like the number of joints affected, symmetry, distribution, and extra-articular symptoms. Ultrasound and X-rays can be used to examine joints for signs of synovitis, tenosynovitis, bone erosions, and crystal deposits
The document discusses arthritis in pediatrics. It defines arthritis as an inflammation of the joints that causes pain and structural damage. Arthritis in children is called childhood arthritis or juvenile arthritis. The document lists some common causes of arthritis including septic arthritis, viral arthritis, mycobacterial arthritis, Lyme disease, rheumatoid arthritis, rheumatic fever, and reactive arthritis. It provides guidance on evaluating a pediatric patient for arthritis by considering factors like the number of joints affected, symmetry, distribution, and extra-articular symptoms. Ultrasound and X-rays can be used to examine joints for signs of synovitis, tenosynovitis, bone erosions, and crystal deposits
1. To clarify the definition of arthritis and to distinguish arthritis from
other musculoskeletal pain causes 2. To list causes of arthritis 3. To provide a brief clinical background of arthritis causes Definition
Arthritis is derived from the Greek term “disease of the joints.” It is
defined as an acute or chronic joint inflammation that often co-exists with pain and structural damage. Arthritis is not synonymous with arthralgia, which refers to pain localized to a joint, regardless of the origin of the pain (which may or may not be due to joint inflammation) Arthritis in children is called childhood arthritis or juvenile arthritis Definition Musculoskeletal pain causes Clinical manifestations Arthritis (also for joint pain) is typically worse when the joint is moved but usually is present even when the joint is not being moved Muscle pain localized, regional or widespread pain Tendon/ligament pain is often described as "sharp" and is worse when the affected tendon or ligament is stretched or moved and is usually relieved by rest Bone related pain is usually deep, penetrating, or dull. It commonly results from injury, or less common, bone infection (osteomyelitis), hormone disorders, and tumors Approach in clinical practice Questions: 0. Did the patient have arthritis ? IF YES 1. Was it acute (< 6 weeks or > 6 weeks) and background of symtomps onset? 2. How many joints, which joints were affected ? 3. If multiple joint were affected, were they symmetry ? 4. How about it’s distribution ? 5. How about it’s pattern (Progressive additive type, migratory pattern type, …) ? 6. How about other extra-articular signs and symtomps ? Monoarthritis Polyarthritis Polyarthritis Approach in ultrasound and X-ray What should be noted in Ultrasound ? - Synovitis - Tenosynovitis - Enthesitis - Bone erosions - Crystal deposits Septic arthritis Viral arthritis Mycobacterial arthritis Lyme disease Rheumatoid arthritis Rheumatic Fever Reactive arthritis