what is typically the first presentation of JIA in young children
limping
what is this:
- loss of elbow extension and wrist extension
- sensory changes forearm
radial nerve palsy originating in the axilla
causes of decreased volume of subacromial space
inflammation of tendon
extra bone
bone spur
De Quervians tenosynovitis symptoms
- several weeks pain localised to wrist
- aggravated by thumb movement
- localised swelling
- localised tenderness over tunnel
- lump may feel bony
operative management of trigger finger
if it recurs after steroids
- percutaneous release
- open surgery
TB bone + joint investigations
x-ray FBC ESR Mantoux sputum/ urine culture x-ray joint aspiration and biopsy
cause of neuropraxia
nerve stretched or bruised
neuropraxia
known as the mildest form of nerve injury. It is classified as a transient conduction block of motor or sensory function without nerve degeneration, although loss of motor function is the most common finding.
most common location of pseudogout
knee
presentation polyarticular JIA RF -ve
- constitutional manifestations (low grade fever, malaise)
- hepatosplenomegaly
- mild anaemia
- growth abnormalities
- symmetric
presentation polyarticular JIA RF+ve
- low grade fever
- malasie
- weight loss
- anaemia
- nodules
- similar to RA but child
in what types of JIA are there high levels of uveitis
oligo-articular
extended oligo
management acute septic arthritis
- IV antibiotics
- aspiration
- arthroscopy
- arthrotomy
- antibiotics
- revision of joint replacements
what is Mortons neuroma
benign fibrotic thickening of a plantar interdigital nerve.
clinical signs RA
- swelling
- tenderness
- limited ROM
- redness
- heat
consequences of trunk involvement in paraplegia
- spasticity
- bladder/ bowel affected
describe paraplegia
loss of sensation and motor control of legs
what could this be the clinical presentation of?
- <16yrs
- > 6wks
- joint swelling
- painful/ limited ROM
- tenderness
- warmth
JIA
causes of excessive knee extension
- quadriceps weakness
- quadriceps spasticity
- knee flexor weakness
osteoporosis investigations
x-rays
DEXA
fracture risk assessment tool
fracture risk assessment tool
classification criteria for giant cell arteritis
3 of the following:
- > 50years
- new headache
- temporal artery tenderness
- ESR >50
- abnormal temporal biopsy
what is autoimmune myositis commonly associated with
paraneoplastic phenomenon in:
- cancer
- interstitial lung disease
- resp muscle weakness
