Section 15. Rheumatology >
Part 1. General Principles in Rheumatology >
Chapter 199. History and Physical Examination in RheumatologyRobert P. Sundel
Topics Discussed: rheumatology.
Sections: Epidemiology, Pathophysiology, Genetics, Clinical Features, Physical Examination, Differential Diagnosis, Prognosis and Outcomes, References.
Excerpt:"Extremity complaints are common
in children; they are estimated to account for up to 10% of
nonwell child visits to pediatricians' offices.1 Conversely,
rheumatologic conditions, are rare, affecting fewer than 200,000 children
in the United States. Thus, clinicians caring for children need
an efficient and effective means of distinguishing arthritis, lupus,
and other autoimmune conditions from injuries, infections, tumors,
and noninflammatory causes of extremity complaints. This chapter
will discuss the key components of a focused history and physical
examination useful for rapidly narrowing down the possible explanations
of a child's musculoskeletal ailment. The next chapter
discusses laboratory and imaging studies that may be used to confirm
the caregiver's clinical suspicions...."
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