Pediatric emergency medicine trisk 2924 2924

by tenderness, swelling, or effusion Pleuritis or pericarditis Pleuritis—convincing Serositis history or pleuritic pain or rub heard by a physician or evidence of pleural effusion or Pericarditis— documented by EKG, rub, or evidence of pericardial effusion on echocardiography Renal disorder Persistent proteinuria Renal disorder >0.5 g/day or >3% if quantitation not performed or cellular casts—may be red cell, hemoglobin, granular, tubular, or mixed Neurologic Seizures or psychosis Neurologic disorder —in the absence of disorder offending drugs or known metabolic derangements (uremia, or more joints and 30 minutes or more of morning stiffness Typical pleurisy for more than day or pleural effusions or pleural rub, or typical pericardial pain (pain with recumbency improved by sitting forward) for more than day, or pericardial effusion, or pericardial rub or pericarditis by EKG in the absence of other causes, such as infection, uremia, and Dressler’s pericarditis Urine protein-tocreatine ratio (or 24-hr urine protein) representing 500 mg protein/24 hrs or red blood cell casts Seizures; psychosis; mononeuritis multiplex (in the absence of other known causes such as primary