Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen...

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PGALS Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center

Transcript of Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen...

Page 1: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma

PGALS

Y Uziel MD MSc

Pediatric Rheumatology

Meir Medical Center

Page 2: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma

pGALS

pediatric Gait, Arms, Legs, Spine

• Screening examination on MSK system in

children

• By Helen Foster- UK

• Evidence based- validated in school age

children

• Take 2 minutes to perform

Page 3: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma

pGALS

pediatric Gait, Arms, Legs, Spine

• MSK problems in pediatrics are common

• Primary care physicians are the gate keeper

• When to perform pGALS

• When to refer to specialist

• How urgent

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Anamnesis

Page 6: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 7: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 8: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 9: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 10: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
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3 Screening questions

• 1-Do you (or your child) have any pain or

stiffness in your joints, muscles, or back?

• 2-Do you…difficulty getting dressed without

help?

• 3-Do you… problems going up and down

stairs?

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Page 13: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 14: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 15: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 16: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 17: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 18: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 19: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 20: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 21: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 22: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 23: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 24: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 25: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 26: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
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Schoeber Test

Page 29: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
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Abnormal pGALS screening

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Hyper mobility

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Think of hand function!!!

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Psoriatic arthritis

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Psoriasis – Nail Pits

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Enthesitis

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Enthesitis

Page 39: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 40: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 41: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 42: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma
Page 43: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma

Childhood problems related to

hypermobility

Page 44: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma

Prevalence of Joint hypermobility associated

with other musculoskeletal conditions

Page 45: Y Uziel MD MSc Pediatric Rheumatology Meir Medical Center · Documentation of the pGALS screen Documentation of the pGALS screening assessment is important and a simple pro forma

פרטי קשר -ספי עוזיאל' פרופ

•[email protected]

•0522656622


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