By Thomas J.A. Lehman
Within the usa on my own, approximately 300,000 youngsters be afflicted by a few kind of arthritis or rheumatic sickness, and hundreds of thousands extra are liable to constructing this type of ailments. during this marvelously down-to-earth advisor, Thomas Lehman--the head of 1 of the top pediatric rheumatology courses within the world--offers a gold mine of specialist recommendation beneficial for pediatricians who are looking to develop into more adept in knowing, diagnosing, and treating rheumatic disorder in youngsters. Dr. Lehman is helping pediatricians interpret their sufferers' lawsuits and confirm even if and what form of scientific awareness is required, explaining what indicators to appear for, what inquiries to ask, what assessments to run, and what to anticipate while therapy starts. utilizing illustrative anecdotes, this publication sheds gentle on quite a lot of rheumatic disorders--including juvenile arthritis, Lyme affliction, lupus, Kawasaki disorder, fibromyalgia, and protracted fatigue syndrome--and it addresses such an important themes as drug protection, genetic concerns, the aptitude dangers to kids posed by way of drugs, the trouble of kin existence whilst a toddler has a protracted disorder, and lots more and plenty extra. A Clinician's advisor to Rheumatic illnesses in young ones captures the services of a committed health professional with over thirty years of hands-on event aiding kids lead general, chuffed lives. it is going to support pediatricians ensure that sufferers in attaining the very best end result.
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Additional resources for A Clinician's Guide to Rheumatic Diseases in Children
You’ll never do a good job if you do not collect all the clues. 16 A C H I L D C O M P L A I N S O F PA I N George was a sixteen-year-old boy whose family moved to the Southwest because he had severe problems with numb ﬁngers in cold weather. He had been diagnosed with Raynaud’s phenomenon (see Chapter 14) and was given medicine. Moving to the Southwest had mostly corrected the condition, but he was having ankle pain. When George walked in to be examined, he had noticeable round red spots on his face and hands.
However, they may cause pain and become troublesome earlier. They are most common in the region of the hip but may also occur around the knee. Osteoid osteomas in the hip area are easily diagnosed on routine X-rays or bone scans. Treatment In most cases, no therapy is necessary once the diagnosis has been established. The pain from an osteoid osteoma is usually easily relieved by acetaminophen or ibuprofen. However, in some children the pain is more severe. Surgical removal of the lesion is possible in most of the troublesome cases.
In teenagers, Blount’s disease is often associated with obesity. In these children, it is suspected that the excessive weight puts too much stress on the medial side of the tibia and the growth plate is damaged. Under these circumstances, only one side may be affected. Blount’s disease in teenagers may be associated with progressive pain. Treatment At ﬁrst, the pain may be intermittent and relieved by acetaminophen or other pain relievers, but over time it may steadily worsen. If it is left untreated, the pain will continue and the damage to the joint may result in the premature development of mechanical arthritis.
A Clinician's Guide to Rheumatic Diseases in Children by Thomas J.A. Lehman