Rheumatology Book

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Musculoskeletal Pain in ChildrenAka: Joint Pain in Children

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  1. See Also
    1. Musculoskeletal Pain in Children Red Flags
    2. Rheumatologic Conditions Presenting with Rash
    3. Monoarthritis
    4. Polyarthritis
  2. Symptoms: Joint pain benign symptoms
    1. Worse with activity and better with rest
    2. Worse at the end of the day
    3. If night pain, relieved with Ibuprofen or Tylenol
  3. Signs: Joint pain benign signs
    1. No joint swelling
    2. Joint Hypermobility
    3. No bone tenderness
    4. Normal strength
    5. Normal height and weight growth velocity
  4. Labs
    1. Complete Blood Count with platelets (CBC)
    2. Erythrocyte Sedimentation Rate (ESR)
    3. Antinuclear Antibody (ANA)
  5. Imaging
    1. XRay of affected joint
  6. Differential Diagnosis
    1. See Musculoskeletal Pain in Children Red Flags
    2. See Rheumatologic Conditions Presenting with Rash
    3. See Ocular Manifestations of Rheumatologic Disease
    4. See Fever in Rheumatic Disease
    5. See Monoarthritis
    6. See Polyarthritis
    7. Common benign causes of musculoskeletal pain
      1. Growing Pains
      2. Benign Hypermobility Syndrome
    8. Rheumatologic conditions
      1. Juvenile Rheumatoid Arthritis
      2. Juvenile Ankylosing Spondylitis
      3. Reactive Arthritis
      4. Rheumatic Fever
      5. Henoch-Schonlein Purpura
      6. Systemic Lupus Erythematosus
  7. Evaluation
    1. See Musculoskeletal Pain in Children Red Flags
  8. References
    1. Junnila (2006) Am Fam Physician 74:115
    2. Malleson (2001) CMAJ 165:183

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