New Wegener’s section:

WEGENER’S GRANULOMATOSIS

(Rare in kids, low yield). Wegener’s granulomatosis is a multisystem vasculitis that affects the sinuses, lungs and kidneys. Look for a  +C-ANCA (as opposed to the p-ANCA seen in ulcerative colitis).

=============

New Joint Hypermobility section:

JOINT HYPERMOBILITY

A child with joint hypermobility might present with a history of “loose joints.” It sounds good, but these children are actually more prone to getting injured with sprains. The treatment is to encourage stretching!

MNEMONIC/PEARL: They’ll talk about loose JOINTS, not someone being extremely flexible. The stretching stretches the ligaments and makes them less prone to injury as the joints are all loose and sliding all over the place.