Thomas J.A. Lehman's A Clinician's Guide to Rheumatic Diseases in Children PDF


By Thomas J.A. Lehman

ISBN-10: 0195341902

ISBN-13: 9780195341904

Within the usa on my own, approximately 300,000 little ones be afflicted by a few kind of arthritis or rheumatic sickness, and hundreds of thousands extra are prone to constructing the sort of ailments. during this marvelously down-to-earth consultant, Thomas Lehman--the head of 1 of the major pediatric rheumatology courses within the world--offers a gold mine of specialist suggestion beneficial for pediatricians who are looking to develop into more adept in knowing, diagnosing, and treating rheumatic ailment in teenagers. 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 remedy starts. utilizing illustrative anecdotes, this ebook sheds gentle on a variety of rheumatic disorders--including juvenile arthritis, Lyme disorder, lupus, Kawasaki sickness, fibromyalgia, and persistent fatigue syndrome--and it addresses such an important themes as drug protection, genetic issues, the aptitude hazards to childrens posed via drugs, the trouble of kinfolk existence while a baby has a protracted sickness, and lots more and plenty extra. A Clinician's consultant to Rheumatic illnesses in youngsters captures the services of a devoted health practitioner with over thirty years of hands-on adventure aiding young children lead common, satisfied lives. it's going to aid pediatricians ensure that sufferers in attaining the absolute best end result.

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Extra resources for A Clinician's Guide to Rheumatic Diseases in Children

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The hip is a deep-seated joint, and injuries such as ligamentous tears are infrequent in childhood. Chronic and recurrent hip pain in younger children may be the result of Legg-Calve-Perthes (LCP) disease, arthritis, an infection, or tumor in the bone. In older children, SCFE and spondyloarthropathies (enthesitis-associated arthritis; see Chapter 9) are more common. These conditions often begin with vague complaints of hip pain that become progressively worse over time. Children with all of these conditions may initially describe knee or thigh pain.

Treatment Children diagnosed with LCP should be under the care of an orthopedist. Treatment often consists initially of traction followed by casting. Once the cast is removed, physical therapy is important to restore strength and range of motion. The purpose of the traction and casting is to keep the femur properly seated in the hip while decreasing the pressure on the femoral head. Often this allows the bone to reestablish its blood supply and begin to repair itself. The precise treatment details will depend on the age of the child and the degree of damage to the bone at the time the problem is discovered.

They are most common in the region of the hip (see below) but may occur either above or below the knee. However, in some children they cause pain. Most often the pain occurs in the middle of the night Common Causes of Pain 25 and is sufficiently severe to wake the child. Osteoid osteomas occur in boys more often than girls and frequently become symptomatic during the teenage years. Diagnosis Osteoid osteomas around the knee are usually diagnosed easily on routine X-rays, but sometimes a CAT scan is required to recognize them.

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A Clinician's Guide to Rheumatic Diseases in Children by Thomas J.A. Lehman

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