By Thomas J.A. Lehman
Within the usa on my own, approximately 300,000 youngsters be afflicted by a few type of arthritis or rheumatic affliction, and hundreds of thousands extra are liable to constructing the sort of illnesses. during this marvelously down-to-earth consultant, Thomas Lehman--the head of 1 of the top pediatric rheumatology courses within the world--offers a gold mine of professional recommendation worthwhile for pediatricians who are looking to develop into more adept in figuring out, diagnosing, and treating rheumatic affliction in little ones. Dr. Lehman is helping pediatricians interpret their sufferers' court cases and ascertain 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 remedy starts off. utilizing illustrative anecdotes, this publication sheds gentle on a variety of rheumatic disorders--including juvenile arthritis, Lyme ailment, lupus, Kawasaki ailment, fibromyalgia, and protracted fatigue syndrome--and it addresses such the most important subject matters as drug security, genetic concerns, the aptitude dangers to young ones posed by way of medicines, the trouble of family members lifestyles while a toddler has a prolonged affliction, and lots more and plenty extra. A Clinician's advisor to Rheumatic illnesses in young ones captures the services of a committed health care professional with over thirty years of hands-on event supporting young ones lead common, chuffed lives. it's going to aid pediatricians ensure that sufferers in achieving the very best end result.
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Within the usa on my own, approximately 300,000 young ones be afflicted by a few type of arthritis or rheumatic illness, and thousands extra are susceptible to constructing this sort of ailments. during this marvelously down-to-earth advisor, Thomas Lehman--the head of 1 of the prime pediatric rheumatology courses within the world--offers a gold mine of professional suggestion priceless for pediatricians who are looking to develop into more adept in knowing, diagnosing, and treating rheumatic illness in little ones.
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Extra info for A Clinician's Guide to Rheumatic Diseases in Children
However, the child with growing pains is ﬁne during the day, while the child with a tumor will most often have pain during the day if carefully examined. A full discussion of the types of bone tumors and their treatment is far beyond the scope of this book. If you desire further information on this subject, you should contact your local ofﬁce of the American College of Orthopedic Surgeons or a similar organization. H I P PA I N Hip pain is a particularly disturbing ﬁnding in children. Most often, children with hip pain walk with a very abnormal gait.
Does the pain wake the child up at night? • Is the pain associated with stiffness, and is it worse when the child gets up in the morning, or does the pain begin only with activities? • Is the pain relieved by rest or does the child stiffen up if he or she sits for a long period? • What position or activity reduces the pain? What position or activity makes the pain worse? • Is the pain conﬁned to a single location or does it move up and down the back? • Does the pain extend down into one leg or out into one shoulder?
However, because bone cysts can be associated with more serious problems, these children should all be referred to an experienced orthopedist for evaluation. Bone Tumors Overview While many bone tumors are benign, some are malignant and life-threatening. Diagnosis The key to recognizing bone tumors is appropriate evaluation of the child with pain. Like tumors elsewhere, bone tumors begin very small and grow relatively slowly. Often they are easily visible on routine X-ray by the time they are producing pain.
A Clinician's Guide to Rheumatic Diseases in Children by Thomas J.A. Lehman