Juvenile idiopathic arthritis: Difference between revisions
(Created page with "==Background== *Children <16yr ==Diagnosis== ===Clinical Presentation=== *High fever (at least 102.2) for minimum of 2wk *Faint erythematous macular coalescing rash **Trunk, pal...") |
Megankirch (talk | contribs) No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | == Background == | ||
==Diagnosis== | *Children <16yr | ||
===Clinical Presentation=== | |||
*High fever (at least 102.2) for minimum of 2wk | == Diagnosis == | ||
*Faint erythematous macular coalescing rash | |||
**Trunk, palms, soles | === Clinical Presentation === | ||
*Arthritis | |||
**Usually polyarticular | *High fever (at least 102.2) for minimum of 2wk | ||
*Faint erythematous macular coalescing rash | |||
**Trunk, palms, soles | |||
*Arthritis | |||
**Usually polyarticular | |||
*May also have hepatosplenomegaly, lymphadenopathy, pleuritis, pericardial effusion | *May also have hepatosplenomegaly, lymphadenopathy, pleuritis, pericardial effusion | ||
===Work-Up=== | |||
*Labs | === Work-Up === | ||
**CBC (Anemia, leukocytosis, thrombocytosis) | |||
**ESR, CRP | *Labs | ||
**CBC (Anemia, leukocytosis, thrombocytosis) | |||
**ESR, CRP | |||
*Arthrocentesis may be needed to exclude septic arthritis | *Arthrocentesis may be needed to exclude septic arthritis | ||
==Treatment== | == Treatment == | ||
*Initial therapy is ASA or NSAID | |||
*Initial therapy is ASA or NSAID | |||
*Corticosteroids may be used if dx certain, overwhelming systemic illness | *Corticosteroids may be used if dx certain, overwhelming systemic illness | ||
==Disposition== | == Disposition == | ||
Admit | |||
Admit | |||
== Source == | |||
Tintinalli | Tintinalli | ||
[[Category: | [[Category:Rheum]] | ||
[[Category:Peds]] | |||
Revision as of 22:08, 7 July 2011
Background
- Children <16yr
Diagnosis
Clinical Presentation
- High fever (at least 102.2) for minimum of 2wk
- Faint erythematous macular coalescing rash
- Trunk, palms, soles
- Arthritis
- Usually polyarticular
- May also have hepatosplenomegaly, lymphadenopathy, pleuritis, pericardial effusion
Work-Up
- Labs
- CBC (Anemia, leukocytosis, thrombocytosis)
- ESR, CRP
- Arthrocentesis may be needed to exclude septic arthritis
Treatment
- Initial therapy is ASA or NSAID
- Corticosteroids may be used if dx certain, overwhelming systemic illness
Disposition
Admit
Source
Tintinalli