4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
JUVENILE RHEUMATOID ARTHRITIS
JUVENILE RHEUMATOID ARTHRITIS
Dr Gurmeet Mangat,
Consultant Rheumatologists, P.D.Hinduja Hospital.

Investigations

The investigations done in patients with juvenile arthritis can be divided into 3 groups

  1. Baseline investigations
  2. Specific tests for each disease
  3. Tests to assess drug side-effects. These are depicted in Table II.

Table II: Investigations in patients with Juvenile Arthritis

Baseline investigations Specific investigations Drug monitoring
CBC

ESR

SGPT

Creatinine

Urine routine

X ray chest- PA view

X ray of other joints

Rheumatoid factor: in those with  dominant arthritis

Juvenile myositis: CPK, LDH, EMG & Nerve conduction studies, muscle biopsy, ANA, Jo-1 anti body 

Juvenile Scleroderma: Barium swallow *, PFT *, HRCT *, 2D Echo * 

Juvenile SLE: ANA, ds DNA, ENAs, 24 hour urinary protein, 24 hr creatinine clearance, C3, C4, CIC, kidney biopsy *

CBC

SGPT

Creatinine

Albumin

Random sugars if on steroids

Urine routine

Eye check up if on chloroquine

* These are often done only when there is clinical suspicion of relevant organ system involvement.

PEDIATRIC RHEUMATOLOGY : EXPERTISE VIEWS AND PARENTING FREQUENTLY ASKED QUESTIONS
PEDIATRIC RHEUMATOLOGY : EXPERT VIEWS AND PARENTING FREQUENTLY ASKED QUESTIONS
PEDIATRIC RHEUMATOLOGY : EXPERTISE VIEWS AND PARENTING FREQUENTLY ASKED QUESTIONS
PEDIATRIC RHEUMATOLOGY : EXPERTISE VIEWS AND PARENTING FREQUENTLY ASKED QUESTIONS
 
 
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