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A Parent's Guide to Rheumatic Disease in Children by Thomas J.A. Lehman M.D.

By Thomas J.A. Lehman M.D.

For a kid with arthritis or a similar situation, lack of know-how at the a part of the oldsters is likely one of the largest hindrances to restoration. mom and dad don't regularly know the way to interpret the lawsuits voiced via their youngsters and this is often compounded through the inexperience of physicians, who not often deal with teenagers with those illnesses. during this marvelously down-to-earth advisor, Dr. Thomas Lehman--the head of 1 of the top pediatric rheumatology courses within the world--offers a gold mine of specialist recommendation that's helpful either for folks whose young children have rheumatic issues and for fogeys of youngsters with court cases, soreness, or incapacity who're no longer getting the solutions they want from their health practitioner. utilizing easy analogies and illustrative anecdotes to light up hard-to-grasp ideas, Dr. Lehman is helping mom and dad interpret their kid's court cases and to figure out even if clinical awareness is required. much more vital, the booklet explains to folks tips to stick with via with a doctor and confirm their baby gets the proper assessments, the correct prognosis, and finally, the easiest care attainable. The booklet explains to oldsters what signs to seem for, what inquiries to ask, and what to anticipate while remedy starts. It sheds mild on quite a lot of rheumatic disorders--including Juvenile Arthritis, Lyme illness, Lupus, Kawasaki illness, Fibromyalgia, and protracted Fatigue Syndrome--and it addresses such an important themes as drug defense, the aptitude hazards to young children posed through drugs, medical health insurance difficulties, the trouble of family members existence whilst a toddler has a prolonged ailment, and masses extra. the single publication in this topic at present on hand, A Parent's consultant to Rheumatic ailments in teenagers captures the services of a committed health care professional with over thirty years of hands-on adventure assisting young ones lead common chuffed lives. it is going to assist you to make sure that your baby achieves the very best consequence.

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Additional resources for A Parent's Guide to Rheumatic Disease in Children

Sample text

Hand, Wrist, and Finger Pain Finger injuries are extremely common in children of all ages. Obvious fractures are easily recognized and quickly diagnosed by appropriate X-ray examination. Common causes of pain | 43 FIG 3-11 The muscles of the shoulder and the rotator cuff. Injuries often result from the muscles enlarging with athletic activity to the point where they are irritated as they pass between the bones. Children with persistent finger injuries require careful evaluation. Children with blunt trauma to the ends of the fingers may suffer damage to the tendons, resulting in mallet finger (the tip of the finger is pointed down and cannot be brought up) or boutonniere deformity (the tip of the finger is pulled up [see Fig.

Boutonniere deformity may also be the result of arthritis. FIG 3-12 Boutonniere deformity, resulting from tendon slippage. 44 | M Y C H I L D C O M P L A I N S O F PA I N Young children with swollen fingers or toes without explanation are often thought to have banged or stubbed them. But if the pain or swelling persists, the child should be carefully examined for evidence of arthritis. Persistent swollen fingers (dactylitis, or “sausage digit”) may be the first manifestation of serious arthritis (see Chapter 7).

The disease. 22 | M Y C H I L D C O M P L A I N S O F PA I N Children diagnosed with LCP should be under the care of an orthopedist. Treatment often consists initially of traction followed by casting. Once the cast is removed, physical therapy is important to restore strength and range of motion. The purpose of the traction and casting is to keep the femur properly seated in the hip while decreasing the pressure on the femoral head. Often this allows the bone to reestablish its blood supply and begin to repair itself.

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