Flashcards
Rheumatology
Cards in this deck (16)
- 1Seronegative spondylarthopathies?PsA/RA/Enteropathic/AS
- 2PMR commonly associated condition?GCA
- 3How do you divide any treatment plan?Conservative-Physio/OT
Medical-Drugs
Surgical-ORIF/replacement - 4Presentation of RA?Symmetrical polyarthritis
Small joints of the hand apart from DIPs
swelling
Relieved by activity and NSAIDs
Worse in mornings (morning stiffness)
female>males - 5Gene strongly associated with RA?HLA-DRB1
- 6Hand features of RA?Z thumb/swan neck/bouchienne deformity
ulnar deviation (pronounced ulnar styloid) - 7Investigations for RA?FBC,ESR,CRP,RF,anti-CCP
DAS-28 score-measures disease severity
X-rays - 8Medical management?NSAIDS/steroids
DMARDs
Biologics
using DAS28 score for reference - 9Presentation of Crystal arthopathy?hot swollen painful joint
acute onset (within hours) - 10InvestigationsRoutine bloods
INR/septic screen inc. cultures
urine dip
xray
Aspirate the joint - 11Acute monoarthritis DDx?Septic/Crystal/Haemarthosis
- 12Treatment for Crystal arthopathy?Rehydrate
NSAIDs
steroids oral/injection
aspirate joint to dryness - 13How can u tell if CPPD vs Gout?Plane light microscopy
- 14Management of SNA?NSAIDS/pain killers
steroids/pt/ot - 15Investigations for reactive arthritis?Bloods/urine
stool culture
joint effusion
urogenital exam
eye exam - 16Urogenital trigger for arthritis treatment?Doxycycline/ofloxacin