Rheumatology picture adults peadiatrics.pptx

Rheumatology picture adults peadiatrics

1. Rheumatology

2. Normal posture

3. Bow legs

4. Knock knees

5. Flat feet

6. In-toeing an out-toeing

7. In-toeing Out-toeing

8. Congenital talipes equino varus

9. Ponsetti method of serial casting

10. Surgical correction

11. Perthe’s Disease

12. Conservative management is often used for correction

13. SUFE Slipping of femoral head usually seen in prepubertal obese males

14. Surgical correction often required – fixation with screws

15. Transient synovitis

16. Affected joint is red, edematous, warm and tender

17. Decreased range of motion of affected joint which is preferred to be kept immobile

18. Pseudoparesis / pseudoparalysis

19. Aspiration of affected joint reveals pus. Analysis reveals WBC > 50, 000/mm3 Joint effusion in USS

20. Osteomyelitis Bacteria reach the joint via bloodstream and infection sets in

21. Affected limb kept still – pseudoparalysis

22. X ray features seen after a week or so Early x ray done to exclude alternative diagnosis such as trauma MRI is more specific

23. Juvenile idiopathic arthritis Inflammatory polyarthritis

24. Salmon pink rash

25. Pericardial effusion

26. SLE Malar rash

27. Juvenile dermatomyositis Periobital edema with erythema around the eyes and on the bridge of nose

28. V sign

29. Osteogenesis imperfecta

30. Bowing of long bones in X rays Multiple fractures seen in utero

31. Blue sclera

32. Marfan syndrome Hyperextensible joints Arachnodactyly Tall stature

33. High arched palate Ectopia lentis

34. Arm span > height Scoliosis

35. Aortic root dilatation – can undergo dissection Requires frequent echocardiographic monitoring