By Thomas J.A. Lehman
Within the usa on my own, approximately 300,000 teenagers be afflicted by a few type of arthritis or rheumatic illness, and thousands extra are vulnerable to constructing the sort of ailments. during this marvelously down-to-earth advisor, Thomas Lehman--the head of 1 of the best pediatric rheumatology courses within the world--offers a gold mine of professional suggestion precious for pediatricians who are looking to turn into more adept in figuring out, diagnosing, and treating rheumatic affliction in young children. Dr. Lehman is helping pediatricians interpret their sufferers' proceedings and ensure no matter if and what form of scientific recognition is required, explaining what indicators to appear for, what inquiries to ask, what exams to run, and what to anticipate while therapy starts off. utilizing illustrative anecdotes, this ebook sheds gentle on quite a lot of rheumatic disorders--including juvenile arthritis, Lyme illness, lupus, Kawasaki ailment, fibromyalgia, and persistent fatigue syndrome--and it addresses such an important issues as drug defense, genetic concerns, the capability dangers to youngsters posed through drugs, the trouble of relatives existence while a toddler has a protracted affliction, and lots more and plenty extra. A Clinician's advisor to Rheumatic illnesses in youngsters captures the services of a devoted healthcare professional with over thirty years of hands-on event assisting young children lead general, chuffed lives. it is going to aid pediatricians ensure that sufferers in achieving the very best consequence.
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Additional resources for A Clinician's Guide to Rheumatic Diseases in Children
Some children have a postural kyphosis. This is usually a mild increase in the forward bend of the spine, leading to the appearance that they are always slumping over. In these children, there are often no abnormal ﬁndings on X-ray. They can lie face down with their Figure 3-6 Appearance of the spine with wedge-shaped vertebrae in a child with kyphosis due to Scheuermann’s disease. 44 A C H I L D C O M P L A I N S O F PA I N backs perfectly ﬂat. Children with more signiﬁcant abnormalities usually have changes in the bones.
Does the knee hurt all the time? ◦ Does it hurt only in the middle of the night? ◦ Does it hurt only when the child is running on the soccer ﬁeld? ◦ Does it hurt only in the evening? • Can the child play but then have to come off the ﬁeld? ◦ If the child comes off the ﬁeld, is he or she better in ﬁve minutes and back in the game? ◦ Or is the child out for the rest of the day? • When the child wakes up the next morning, does he or she feel better or worse? • Is the knee stiff the next morning?
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.
A Clinician's Guide to Rheumatic Diseases in Children by Thomas J.A. Lehman