Paediatric rheumatology topics for General Physicians
How pediatric rheumatology is tested
Written for DHA, SMLE, DOH, QCHP, OMSB, MOH, NHRA and Kuwait MOH — the same GP licensing mix, not a pediatric rheumatology specialist paper.
The limp stem is septic arthritis until the Kocher-style risk is low. JIA is weeks of arthritis, not one sore day after football.
Hot joint plus fever is aspiration and antibiotics, not NSAIDs overnight. Transient synovitis is a diagnosis of lower risk after you have thought about pus.
JIA subtypes change uveitis screening. HSP and Kawasaki sit on the border with ID and are tested as much there as here.
Septic hip — first action?
Urgent orthopaedics, ultrasound/aspiration, and antibiotics after cultures when the pathway allows. Do not send a non-weight-bearing febrile child home on ibuprofen.
JIA uveitis — why is it in the bank?
Oligoarticular ANA-positive children can have silent uveitis. Screening is the answer they want, not waiting for a red eye.
Growing pains — when is that wrong?
Unilateral, nocturnal waking every night with swelling, or systemic features. Growing pains are bilateral, evening, and the child is well.
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