RT Book, Section
A1 Sundel, Robert P.
A2 Rudolph, Colin D.
A2 Rudolph, Abraham M.
A2 Lister, George E.
A2 First, Lewis R.
A2 Gershon, Anne A.
SR Print(0)
ID 7018954
T1 Chapter 199. History and Physical Examination in Rheumatology
T2 Rudolph's Pediatrics, 22e
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-149723-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=7018954
RD 2024/04/19
AB 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.