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14-Year-Old Boy Diagnosed With Juvenile Idiopathic Arthritis

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Stanley Medical College, Department of Medicine

A 14 year old boy presented with low grade fever, anemia, splenomegaly and polyarthritis of the left ankle, left knee and right middle finger for 6 months. Based on the findings, he was diagnosed with Juvenile Idiopathic Arthritis. Juvenile Idiopathic Arthritis is a chronic autoimmune disease characterized by arthritis in children under 16 years of age lasting more than 6 weeks, for which other causes have been excluded. Treatment involves medications like NSAIDs, DMARDs, corticosteroids and biologics to suppress inflammation and maintain function.

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A Case Of Fever DR.G.BALAJI DR.G.SUNDARAMURTHY’S UNIT
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A case of fever DR.G.BALAJI PROF.DR.G.SUNDARAMURTY’S UNIT
 
 
 
Diferential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment given ,[object Object],[object Object],[object Object],[object Object],[object Object]
INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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JUVENILE IDIOPATHIC ARTHRITIS American College of Rheumatology Revised Criteria ,[object Object],[object Object],[object Object],[object Object]
JUVENILE IDIOPATHIC ARTHRITIS Epidemiology ,[object Object],[object Object],[object Object],[object Object]
 
JUVENILE RHEUMATOID ARTHRITIS Etiology and Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOGENESIS ,[object Object],[object Object],[object Object]
PATHOGENESIS ,[object Object],[object Object],[object Object]
PATHOGENESIS ,[object Object],[object Object]
EXAMINATION ,[object Object],[object Object],[object Object]
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JUVENILE RHEUMATOID ARTHRITIS Onset Types ,[object Object],[object Object],[object Object]
ILAR Proposed Classification Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Clinical features: pauciarticular disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Laboratory Studies: Pauciarticular Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
JUVENILE RHEUMATOID ARTHRITIS Clinical features: polyarticular disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Laboratory features: polyarticular disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
JUVENILE RHEUMATOID ARTHRITIS Clinical features: systemic disease ,[object Object],[object Object],[object Object],[object Object]
 
JUVENILE RHEUMATOID ARTHRITIS Laboratory studies: systemic disease ,[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Extra-articular Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Treatment: physical measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacologic Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NSAID ,[object Object],[object Object],[object Object]
NSAIDs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Methotrexate ,[object Object],[object Object]
Methotrexate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Corticosteroids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Leflunomide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Azathioprine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cyclophosphamide ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anticytokine therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TNF-a Inhibitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etanercept ,[object Object],[object Object],[object Object],[object Object]
Disease Course ,[object Object],[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
JUVENILE RHEUMATOID ARTHRITIS Poor Prognostic Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Imaging: Cortical Vein Thrombosis
Imaging: Cortical Vein ThrombosisImaging: Cortical Vein Thrombosis
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ECG: Findings in CNS disorders
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A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD
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A Case of NASH with HYPOTHYROIDISM
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IMAGING: NEUROCYSTICERCOSIS
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ECG: Digitalis Effect / MAT / AF
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Imaging: BOOP
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ECG: Hypokalemia
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A Case of Idiopathic Pulmonary Hypertension
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A Case of Schmidt Syndrome
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A Case of Rodenticide Poisoning
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A Case of Emphysematous Pylonephritis
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Imaging: Multiple Pulmonary Cavitary Lesions
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Imaging: Multiple Pulmonary Cavitary Lesions
 
ECG: Atrial Dissociation
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A Case of Hepato-Pulmonary Syndrome
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A Case of Thalassemia
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A Case of Renal Amyloidosis
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CXR: Silico-Tuberculosis
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14-Year-Old Boy Diagnosed With Juvenile Idiopathic Arthritis

  • 1. A Case Of Fever DR.G.BALAJI DR.G.SUNDARAMURTHY’S UNIT
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