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

Suggested Reading for your elective:

  • Color Atlas of Pediatric Rheumatology. <-B Ansell, S. Rudge, JG Schaller. 1992
  • Textbook of Pediatric Rheumatology-JT Cassidy and RE Petty.
  • Primer on Rheumatic Diseases Edition 12-JH Klippel Editor. A copy will be given to you to keep.
  • Accompanying articles on CD