Joint pains/ swellings – kids

DDx 

• “ARTHRITIS”
• A – Avascular necrosis & epiphyseal disorders
• R – reactive & post infectious arthritis
• T – Trauma – accidental/ non accidental
• H – haematologic eg. Leukaemia, bleeding diasthesis 
• R – Rickets, metabolic & endocrine disorders
• I – Infection eg. Septic arthritis, OM, Parvovirus associated arthrtisi
• T – tumour eg. Osteosarcoma, lymphoma, neuroblastoma
• R – systemic rhematologic diseases
• Note Juvenile idiopathic arthritis is a diagnosis of exclusion of above