11 years old female, pain in joints from 1 month moderate, inflammation of elbow,wrist, knee, ankle from 20 days, fever high grade from 4 days, deformity of metacarpal joints from 3 years, TB contact +ve (mother & sibling). O/E: inflammation of elbow, wrist, MCP, wrist, knee & ankle joints symmetrical, warm & tender, nodules on MCP, joints pigeon chest, chest b/l clear, GCS 15/15, anterior fontanelle wide open. Ix: WBC 12, HB 10, plt 394, Spinal XRay shows mild Kyphosis, Platyspondyly at lumbosacral joint, ASOT -ve, XRay both hand & feet shows soft tissue calcification, bone density mildly reduced, USG joints: no joint effusion. Diagnosis & Management?

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Juvenile Rheumatoid arthritis (JRA)

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Juvenile Rheumatoid arthritis - ROM Exercises for all joints

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Juvenile Rheumatoid arthritis.

Juvenile rheumatoid arthritis

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Juvenile rheumatic arthritis

Juvenile Rheumatoid Arthritis

11 year child ant fontanalle widely open ????? @Dr. Rajesh Hirani

JRA reactive arthritis

JRA

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juvenile arthritis .need some investigation .

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