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- W84392246 abstract "Musculoskeletal and joint diseases appear to have increased in the last decade. Confusion over terminology and a lack of awareness of these conditions have probably contributed to their underrecognition. In a survey of primary care pediatricians in upstate New York, about 5% of all patient visits were attributed to arthralgias and injuries. These patients frequently pose a diagnostic dilemma because of the extremely broad differential diagnoses that must be considered. Typical of the many presentations might be a child with knee pain, no fever, and a questionable history of trauma. The pain may begin slowly; the child may limp but deny any pain. Moving the joint produces pain, and normal motion may be limited because of it. Early in the examination it is important to determine that the pain is in the joint itself rather than the soft tissue around the joint or the muscle close to it. It is also important to distinguish between pain in the joint itself and referred pain. If there is actual swelling of the joint or pain on motion with tenderness and with limitation of motion, we can safely assume that particular joint is involved. Presented here is a semi-algorithmic approach to the diagnosis of joint pain in pediatric practice. The first step in initial screening is to establish whether a single joint or multiple joints are involved. The second important step is to determine whether or not there is associated fever. For practical purposes, this initial screening should lead to the following four possible groups of diagnoses: a) single-joint involvement with associated fever, b) single-joint involvement without fever, c) multiple-joint involvement with associated fever, and d) multiple-joint involvement without fever. (Figure 1)" @default.
- W84392246 created "2016-06-24" @default.
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- W84392246 date "2002-10-01" @default.
- W84392246 modified "2023-09-26" @default.
- W84392246 title "Joint pain in children: an algorithmic approach." @default.
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