It's Not Just Growing Pains: A Guide to Childhood Muscle, by Thomas J. A. Lehman
By Thomas J. A. Lehman
Arthritis is generally thought of a sickness of older adults, yet approximately 300,000 young children within the usa be afflicted by a few kind of arthritis or rheumatic affliction, reminiscent of juvenile arthritis (JRA), fibromyalgia, continual fatigue, systemic lupus erythematosus, scleroderma, or Kawasaki affliction. but earlier little or no details has been on hand to steer mom and dad and medical professionals in accurately diagnosing such young ones. here's a readable, trustworthy advisor to the typical motives of bone, joint, muscle, and arthritis ache in little ones, designed to aid mom and dad and physicians comprehend those issues, arrive on the right analysis, and select the best therapy. during this complete source, Dr. Thomas Lehman--the head of 1 of the main prestigious pediatric rheumatology courses within the world--offers easy-to-understand info at the explanations, signs, assessments, and coverings for a wide selection of rheumatic illnesses and early life soreness. Dr. Lehman writes with nice readability, supplying various case examples that illustrate the subject handy and delivering functional, down-to-earth suggestion. both very important, he solutions the questions that oldsters are probably to invite: What may still they become aware of of their young ones? What questions may still they ask their health care professional? Which checks are invaluable? What chance components may still they concentrate on? and the way can they assist their childrens deal with the social and mental elements in their ailment. The booklet summarizes diagnostic checks, discusses the best drugs, and discusses actual remedy, substitute remedy, and surgical thoughts which are on hand. essentially written, thorough, authoritative, and up to date, it is not simply growing to be Pains is the definitive source to be had at the topic for fogeys and future health care execs, aiding them to appreciate the kid's ache and locate the simplest on hand care.
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Additional info for It's Not Just Growing Pains: A Guide to Childhood Muscle, Bone and Joint Pain, Rheumatic Diseases, and the Latest Treatments
The key to getting a proper diagnosis is a careful and complete physical examination. The physicians caring for your child need to know to look Figuring Out What’s Wrong 17 everywhere for the answer, not just where the child points. There are far too many specific findings that an experienced physician will look for to list them all here. ” Diagnosing illness is like solving puzzles. You’ll never do a good job if you do not collect all the clues. George was a sixteen-year-old boy whose family moved to the Southwest because he had severe problems with his fingers getting numb in the cold.
However, during the first few days after an infection begins, the X ray may not show changes. Bone scans and MRIs will dem onstrate infections in the bone at the earliest stages when pain is present. Pain in the lower abdomen near the hip may be a cause of confusion. When dealing with younger children, it can be difficult to know exactly where the pain is coming from. Children with severe lower abdominal pain may walk with an abnormal gait, suggesting arthritis or an infected hip. As a result, occasionally I have seen children brought for evaluation of hip pain and limp who turned out to have an abscess resulting from an appendix that had ruptured.
Most often, children with hip pain walk with a very abnormal gait. If the pain is sudden and severe, the child may not be able to walk at all. A child who is suddenly unable to walk after trauma or a fall needs immediate medical evaluation to exclude fractures and other orthopedic injuries. A child who, without warning, wakes up in the morning with hip pain and has difficulty walking may be suffering from a variety of conditions. If the pain does not disappear after a few minutes, the child should be brought for immediate medical attention to exclude the possibil ity of an infection.