A Clinician's Guide to Rheumatic Diseases in Children by Thomas J.A. Lehman

By Thomas J.A. Lehman

Within the usa on my own, approximately 300,000 little ones be afflicted by a few kind of arthritis or rheumatic ailment, and thousands extra are liable to constructing this kind of illnesses. during this marvelously down-to-earth consultant, Thomas Lehman--the head of 1 of the prime pediatric rheumatology courses within the world--offers a gold mine of professional suggestion worthy for pediatricians who are looking to turn into more adept in knowing, diagnosing, and treating rheumatic ailment in teenagers. Dr. Lehman is helping pediatricians interpret their sufferers' proceedings and ascertain no matter if and what form of scientific cognizance is required, explaining what signs to seem for, what inquiries to ask, what exams to run, and what to anticipate while remedy starts. utilizing illustrative anecdotes, this ebook sheds gentle on quite a lot of rheumatic disorders--including juvenile arthritis, Lyme sickness, lupus, Kawasaki ailment, fibromyalgia, and persistent fatigue syndrome--and it addresses such an important subject matters as drug protection, genetic concerns, the capability dangers to teenagers posed through medicines, the trouble of family members lifestyles while a toddler has a prolonged affliction, and lots more and plenty extra. A Clinician's advisor to Rheumatic illnesses in youngsters captures the services of a committed health care professional with over thirty years of hands-on event assisting young children lead general, chuffed lives. it is going to support pediatricians ensure that sufferers in attaining the absolute best end result.

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But no one had put them all together to make the proper diagnosis. When examining a child with pain in the muscles, bone, or joints, there are several important steps. The first is to determine carefully where the pain is located: • Is the pain in the joint (where the bones come together)? • Is the pain just above or below the joint? • Is the pain in the middle of the arm or leg—far away from a joint? • Is the child in pain without being touched, or does it hurt only if you squeeze? • Is this the only joint that hurts, or do other joints hurt if you squeeze them?

Figuring Out What’s Wrong 17 Children should be much more flexible than forty-year-olds. If you are worried about a joint, can the child bend it without pain? Can he or she bend it all the way? Normal children under age ten can put their heels on their buttocks without difficulty. Young children should also be able to bend their hips so that their heels can reach their abdomen. Often I see children who were told that they were normal because they could do everything a forty-year-old can do. If a child presents with fever and ear pain and has an ear infection, it is highly unlikely that you will check the child’s knees.

Often they never cause difficulty. They are most common in the region of the hip (see below) but may occur either above or below the knee. However, in some children they cause pain. Most often the pain occurs in the middle of the night Common Causes of Pain 25 and is sufficiently severe to wake the child. Osteoid osteomas occur in boys more often than girls and frequently become symptomatic during the teenage years. Diagnosis Osteoid osteomas around the knee are usually diagnosed easily on routine X-rays, but sometimes a CAT scan is required to recognize them.

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