Learning Objectives

Learning Objectives for Pediatric Rheumatology

Through participation in clinics, inpatient consultations, didactic sessions, and self-directed learning, the residents will become familiar with the following:

Skills

Examination techniques for detection of synovial, scurrilities, enteritis, and vasculitis. You should feel comfortable with the entire joint exam.

Knowledge

Approach to the child with new onset of arthritis
Juvenile Rheumatoid Arthritis
- Classification and diagnostic criteria
- Differential diagnosis
- Understanding of a positive ANA effect on risk for uveitis in JRA
Spondyloarthropathies
- Associated diseases and population at risk
SLE
- Clinical Features/ criteria
- Basic understanding of associated auto-antibodies
- Know laboratory workup for antiphospholipid antibody syndrome
Juvenile Dermatomyositis
Arthritis related to infection
- Rheumatic fever and post-streptococcal arthritis
- Reactive arthritis
Systemic vasculitis
- Know classification
Musculoskeletal manifestations of leukemia
Non-inflammatory causes of arthralgias
- "growing pains", patellofemoral syndrome, fibromyalgia, hypermobility syndrome
Interpretation of a positive ANA without any rheumatologic signs or symptoms
Osteoporosis in children
- Proper assessment
- Appropriate calcium and Vitamin D supplementation
- Issues in children with treatment