14576767
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| 1. What is the definition of arthritis? | Joint swelling/effusion OR two of: tenderness/pain on movement, limited range, increased warmth. |
| 2. What are the diagnostic criteria for acute rheumatic fever? | Two major OR one major plus two minor manifestations PLUS evidence of GAS infection. Major: carditis, polyarthritis OR aseptic monoarthritis OR polyarthralgia, Syndenham chorea, erythema marginatum, subcutaneous nodules Minor: fever, arthralgia, ESR >30 OR CRP >30, prolonged PR interval on ECG |
| 3. What is the treatment of acute rheumatic fever? | Pencillin for 10 days. Aspirin for arthritis. Aspirin/steroids for carditis. Prophylactic penicillin for at least five years or until 21yo, lifelong for carditis. |
| 4. What are signs and symptoms related to joint malignancy? | Fever, weight loss, pain > physical findings, night pain. Hepatosplenomegaly, lymphadenopathy, anaemia, metaphyseal lucencies on X-ray. |
| 5. What is the classification criteria for Juvenile Idopathic Arthritis? | Onset <16yo. Duration >6 weeks. Exclusion of other causes of arthritis. |
| 6. What are the signs of systemic JIA? | Quotidien fever, evanescent pink macular rash (correlates with fever spikes), arthritis (morning stiffness and swelling), hepatosplenomegaly, lymphadenopathy, serositis. Anaemia, high ESR, CRP, platelets. A complication is acute pericarditis. |
| 7. What is an important complication of oligoarticular JIA and what management plan should be arranged? | Uveitis, associated with positive ANA. Asymptomatic, does not parallel disease course, requires screening SLE. Manage with anti-inflammatory eye drops or immunosuppression. |
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